The clinical value of color Doppler ultrasonography in measuring the hemodynamics of liver cirrhosis patients' portal and splenic veins

Ran Hui; Zhe Li; Zongjie Liu; Xiuping Liu; Heping Deng

The clinical value of color Doppler ultrasonography in measuring the hemodynamics of liver cirrhosis patients' portal and splenic veins

Am J Transl Res. 2021 Mar 15;13(3):1692-1700. eCollection 2021.

Authors

Ran Hui¹, Zhe Li¹, Zongjie Liu¹, Xiuping Liu², Heping Deng¹

Affiliations

¹ Department of Ultrasound Medicine, The Third Hospital of Hebei Medical University Shijiazhuang 050051, Hebei Province, China.
² Department of Obstetrics and Gynecology, The Third Hospital of Hebei Medical University Shijiazhuang 050051, Hebei Province, China.

PMID: 33841691
PMCID: PMC8014353

Abstract

Objective: To investigate the clinical value of color Doppler ultrasonography (CDUS) in measuring the hemodynamics of liver cirrhosis (LC) patients' portal and splenic veins.

Methods: The clinical data of 81 LC patients admitted to our hospital were collected retrospectively and classified into Group A, and the clinical data from 51 healthy volunteers were classified into Group B. All the patients were examined with CDUS, and the ultrasonography images were analyzed. The hemodynamic indices of the portal and splenic veins were compared, and the differences in the hemodynamic indices of the LC patients with varying degrees of esophageal varices and hepatic injuries were analyzed.

Results: Group A exhibited higher Q_pv, D_pv, Q_sv, and D_sv and lower V_pv and V_sv than Group B (P < 0.05). The Q_pv and D_pv of the patients with Grade B LC were higher than they were in the patients with Grade A LC and lower than they were in the patients with Grade C LC (P < 0.05). The V_pv of the patients with Grade B LC was higher than it was in the patients with Grade C LC and lower than it was in the patients with Grade A LC (P < 0.05). The Q_sv and D_sv of the patients with Grade B LC were higher than they were in the patients with Grade A LC and lower than they were in the patients with Grade C LC (P < 0.05). The V_sv of the patients with Grade B LC was higher than it was in the patients with Grade C LC and lower than it was in the patients with Grade A LC (P < 0.05). The patients with mild, moderate, and severe esophageal varices showed lower V_pv and V_sv and higher Q_pv, D_pv, Q_sv, and D_sv than the patients without esophageal varices (P < 0.05).

Conclusion: CDUS has certain clinical values in measuring the hemodynamics of LC patients' portal and splenic veins and can be used to predict the degrees of hepatic injuries and esophageal varices.

Keywords: Liver cirrhosis; clinical value; color Doppler ultrasonography; hemodynamics; portal vein; splenic vein.