彩色多普勒超声在布加综合征患者TIPS术后随访中的诊断价值研究

摘要:

目的:探讨彩色多普勒超声在布加综合征患者TIPS术后随访中的诊断价值。

方法:选择2015年1月至2019年12月期间在本院行TIPS术后随访的布加综合征患者50例,采用彩色多普勒超声检查肝脏、门脉、脾脏和TIPS,分析彩色多普勒超声对TIPS功能和并发症的诊断价值。

结果:50例布加综合征患者TIPS术后随访中,彩色多普勒超声检查发现TIPS术后1个月内有5例患者出现TIPS血栓形成,其中2例伴有门静脉血栓形成,彩色多普勒超声检查敏感度为100%;TIPS术后3个月内有2例患者出现TIPS狭窄,彩色多普勒超声检查敏感度为100%;TIPS术后6个月内无出现新的并发症。

结论:彩色多普勒超声在布加综合征患者TIPS术后随访中具有较高的诊断价值,能够及时发现TIPS功能和并发症,为临床治疗提供重要依据。

关键词:彩色多普勒超声;布加综合征;TIPS;随访;诊断价值

The Diagnostic Value of Color Doppler Ultrasound in the Follow-up of Patients with Budd-Chiari Syndrome after TIPS Surgery

Abstract:

Objective: To explore the diagnostic value of color Doppler ultrasound in the follow-up of patients with Budd-Chiari syndrome after TIPS surgery.

Methods: Fifty patients with Budd-Chiari syndrome who underwent TIPS surgery and follow-up in our hospital from January 2015 to December 2019 were selected. Color Doppler ultrasound was used to examine the liver, portal vein, spleen and TIPS, and the diagnostic value of color Doppler ultrasound for TIPS function and complications was analyzed.

Results: In the follow-up of 50 patients with Budd-Chiari syndrome after TIPS surgery, color Doppler ultrasound showed that 5 patients had TIPS thrombosis within 1 month after TIPS surgery, of which 2 cases were accompanied by portal vein thrombosis, and the sensitivity of color Doppler ultrasound was 100%. Two patients developed TIPS stenosis within 3 months after TIPS surgery, and the sensitivity of color Doppler ultrasound was 100%. No new complications occurred within 6 months after TIPS surgery.

Conclusion: Color Doppler ultrasound has high diagnostic value in the follow-up of patients with Budd-Chiari syndrome after TIPS surgery and can timely detect TIPS function and complications, providing important basis for clinical treatment.

Keywords: Color Doppler ultrasound; Budd-Chiari syndrome; TIPS; follow-up; diagnostic valu

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