Preliminary study of ultrasound combined with shear wave elastography in transjugular intrahepatic portosystemic shunt for the treatment of hepatic veno occlusive disease

doi:10.3877/cma.j.issn.2095-2015.2018.06.004

Abstract

Abstract:

Objective

To evaluate the value of ultrasound combined with real time shear wave elastography(SWE)in transjugular intrahepatic portosystemic shunt(TIPS)for the treatment of hepatic veno occlusive disease(HVOD).

Methods

The data of 32 patients with HVOD who received TIPS from September 2014 to April 2017 were retrospectively analyzed.Color Doppler ultrasonography was used to detect the diameter and velocity of the portal vein and splenic vein in patients with HVOD before and after operation.The shear wave velocity(SWV)values of liver and spleen were detected by SWE before and after operation.

Results

Before TIPS treatment, the portal vein and splenic vein were normal in diameter and decreased in velocity, and the SWV values of liver and spleen were higher.After TIPS treatment, there were no significant changes in the diameters of portal vein and splenic vein, but the velocity was significantly increased, the differences were statistically significant(all P<0.05). The SWV value of liver decreased significantly, and the difference was statistically significant(P<0.05). The SWV value of spleen decreased significantly, and the difference was statistically significant(P<0.05).

Conclusion

Ultrasound combined with SWE examination can better evaluate the efficacy of TIPS in the treatment of HVOD.

Key words: Hepatic veno occlusive disease, Transjugular intrahepatic portosystemic shunt, Portal vein, Splenic vein

Xia Li, Yuzheng Zhuge, Jian Yang, Hao Han, Min Wu. Preliminary study of ultrasound combined with shear wave elastography in transjugular intrahepatic portosystemic shunt for the treatment of hepatic veno occlusive disease[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2018, 08(06): 253-256.

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References 20

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组别	门静脉		脾静脉
组别	内径(cm)	流速(cm/s)	内径(cm)	流速(cm/s)
治疗前	1.00±0.15	15.25±6.18	0.62±0.14	12.86±8.04
治疗后	1.02±0.16	55.65±17.09^a	0.66±0.11	35.52±13.27^a

组别	门静脉		脾静脉
组别	内径(cm)	流速(cm/s)	内径(cm)	流速(cm/s)
治疗前	1.00±0.15	15.25±6.18	0.62±0.14	12.86±8.04
治疗后	1.02±0.16	55.65±17.09^a	0.66±0.11	35.52±13.27^a

组别	肝脏SWV值	脾脏SWV值
治疗前	3.30±0.41	3.33±0.51
治疗后	2.39±0.53^a	2.98±0.50^a

组别	肝脏SWV值	脾脏SWV值
治疗前	3.30±0.41	3.33±0.51
治疗后	2.39±0.53^a	2.98±0.50^a

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