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Ultima descărcare din IBN: 2020-04-22 14:58 |
Căutarea după subiecte similare conform CZU |
616.36-004-071 (1) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1732) |
SM ISO690:2012 ŢÂMBALĂ, Carolina. Dopplerographic hemodynamic predictive parameters for portal hypertension associated with hepatic cirrhosis. In: Curierul Medical, 2015, nr. 4(58), pp. 20-23. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 4(58) / 2015 / ISSN 1875-0666 | ||||||
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CZU: 616.36-004-071 | ||||||
Pag. 20-23 | ||||||
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Background: Early diagnosis of diffuse chronic liver pathologies greatly improves the treatment and pathology evolution prior to the installing of the
irreversible fibrosis and cirrhosis. Color duplex Doppler ultrasonography appears to offer a number of advantages (accessibility, repeatability, etc.) in
identifying asymptomatic patients and a satisfactory accuracy in assessing liver morphology and hepato-lien system hemodynamics. In order to identify
hemodynamic indicators with acceptable significance estimating portal hypertension associated with liver cirrhosis in the study a detailed analysis of
changes in hepatic vascular flow examined by color duplex Doppler ultrasound is performed.
Material and methods: The research group included 155 patients with varying degrees of fibrosis. Quantification of the fibrosis degree was based on
the results of transient Fibroscan elastography, according to the Metavir score (1-4). Evaluation of portal hemodynamics in all patients was done using
duplex Doppler ultrasound, hemodynamic indices estimation was performed on arterial and venous side.
Results: Reducing time-weighted average velocity in the portal vein, increasing the flow volume in the lien vein basin, vascular resistance increase at the
level of lien artery, offers significant predictive values in identifying portal hypertension associated with liver cirrhosis.
Conclusions: Colored duplex Doppler ultrasound comprehensive approach of splenoportal hemodynamics showed hemodynamic indicators of unimportant
significance for the prediction of cirrogene portal hypertension. |
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Cuvinte-cheie fibrosis, hepatic cirrhosis, hemodynamic indicators, duplex Doppler ultrasound. |
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