Correlación de la enfermedad hepática y la hemodinámica valorada por ecografía doppler en el Hospital Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca 2020

Abstract

Background: Hepatic blood flow and its parameters can be affected by hemodynamic changes and these can be measured in Doppler ultrasound. Authors note that Doppler analysis is valuable for classifying liver disease according to prognosis and severity. Objective: To correlate liver disease and hemodynamics of the hepatic vein and artery and portal vein assessed by Doppler ultrasound. Methodology: Doppler in 80 cirrhotic patients correlated with the Child-Pugh score, prospectively collected data, analysis in SPSS version 2.1. and evaluated by Spearman's correlation. Results: The mean age was 56.89 + 13,87, 66.25% were men. The Child-Pugh classification corresponds to class A (23.6%), B (23.6%) and C (52.5%). The velocity of the portal decreases as the cirrhosis worsens (p = 0.01), the diameter, wave morphology and type of flow of the portal showed a positive correlation as the Child score increases with r: 0.583, p = 0.001; r: 0.684; p = 0.001 and r: 0.255, p: 0.05 respectively. The hepatic vein wave and hepatic artery resistance index were significantly higher in class C (p = 0.01). Conclusion: Of the study population, 68.75% were adults, mostly men and with a Child C score (52.50%). The speed of the portal decreases, the diameter of the portal increases, the flow reverses and fasicity is lost with the worsening of the Child-Pugh class. The change in the shape of the hepatic vein and increased resistance index of the hepatic artery suggest progressive hepatic dysfunction.