Prognostic value of doppler sonography of the hepatic blood flow at sick of the cirrhosis of the liver

The purpose of work: to develop informative prognostic parameters of Doppler sonography a hepatic blood flow at sick of a cirrhosis of a liver (CL) of a virus and alcoholic etiology. Stuff and methods. It is lead uniinstantly prospective research of 88 sick CL virus (В, С, B+C) and alcoholic etiology in the age of from 30 years up to 71 years (Me=49,5 years), 33 men and 55 women. For 2 years of observation 37 patients have died. Are compared indexes of Doppler sonography a portal hemodynamic between the died and persisted patients on the seasons 6 ,1 2 ,1 8 and 24 months. Results: are formulated prognostic rules. Rule 1 (the forecast for 6 months): at VpeakHA (peak speed of a blood flow in a hepatic artery) > 103 sm/sec, probability of a lethality — 28,9%, and at VpeakHA 103 sm/sec, probability of a lethality — 73,3%, and at VpeaKHA 395 ml/min, probability of a lethality — 71,4%, and at VvolSMV 95sm/sec, probability of a lethality — 92 %, and at VpeaKHA 340 ml/min, probability of a lethality — 90,9%, and at VvolSMV 103 см/сек, вероятность летальности — 28,9%, а при VпикПА 103 см/сек, вероятность летальности — 73,3%, а при \/пикПА 395 мл/мин, вероятность летальности — 71,4%, а при Vo6B6B 95 см/сек, вероятность летальности — 92%, а при УпикПА 340 мл/мин, вероятность летальности — 90,9%, а при Vo6BБB < 340 мл/мин, вероятность отсутствия летальности — 47,3%. Выводь: ультразвуковая допплерография является информативной методикой прогноза у больных ЦП для периодов 6,18 и 24 мес