Dopplerographic hemodynamic predictive parameters for portal hypertension associated with hepatic cirrhosis
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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

Dopplerographic hemodynamic predictive parameters for portal hypertension associated with hepatic cirrhosis
CZU: 616.36-004-071

Pag. 20-23

Ţâmbală Carolina
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 27 iulie 2015


Rezumat

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.

Cuvinte-cheie
fibrosis, hepatic cirrhosis,

hemodynamic indicators, duplex Doppler ultrasound.