The value of ultrasound in monitoring the hemodynamics in hepatolenticular degeneration patients complicated with splenomegaly

Objective:To observe the changes of hepatic and splenic arterial blood flow in hepatolenticular degeneration(HLD) patients complicated with splenomegaly using ultrasonography,and explore its clinical value.Methods:The maximum blood flow velocity of the right hepatic artery and splenic artery in 25 HLD patients complicated with mild to moderate splenomegaly(40 mm 60 mm)(group B) were detected using color Doppler ultrasonography under the fasting state,and the correlation among the relevant indicators was analyzed.Results:There was a positive correlation between the spleen thickness and flow velocity of the right hepatic artery and splenic artery in two groups,and the increasing or decreasing degree of the maximum flow velocity of the hepatic and splenic arteries were more obvious in group B.The differences of the right hepatic artery and splenic artery velocity between two groups were not statistically significant(P>0.05).The thickness of spleen in group B was significantly greater than that in group A(P<0.01).Conclusions:The monitoring hepatic artery and splenic artery blood flow in HLD patients complicated with different degrees of spleenomegaly can provide reference in monitoring disease and post-treatment,especially for splenectomy in patients with severe splenomegaly.