ĐẶC ĐIỂM SIÊU ÂM DOPPLER VÀ FIBROSCAN Ở BỆNH NHÂN BỆNH GAN MẠN TÍNH DO RƯỢU

Abstract

Aim: Describe some characteristics of Doppler and Fibroscan ultrasound images in patients with chronic alcoholic liver disease. Subjects and methods: including 41 patients with chronic alcoholic liver disease treated at Cam Khe Clinic 103, Phu Tho province from November 2019 to February 2024. Results: 41 patients with cirrhosis (32 men and 9 women). The average age was 52.9 ± 11.3 years. The mean value of spleen size was 16.9 ± 3.15 cm. The mean value of splenic vein diameter was 15.1 ± 3.72 mm. The mean value of portal vein diameter was 14.8 ± 3.46 mm. The average portal vein velocity was 11.3 ± 3.32 cm/s. The average value of the impedance index RI is 0.81 ± 0.2. Patients with liver fibrosis level F4 accounted for the highest rate of 31.7%. Fibroscan results were positively correlated with spleen size, portal vein diameter, RI impedance index and splenic vein diameter (p < 0.001); and correlated with portal vein velocity (p < 0.001). Conclusion: Fibroscan can predict changes in hepatic vascular resistance and help improve the accuracy of Doppler ultrasound in monitoring patients with cirrhosis