摘要
目的探讨内镜超声检查术(EUS)对门静脉高压(PHT)所致食管胃底静脉曲张(EGV)的诊断价值。方法选择临床确诊PHT并存在EGV的患者53例及对照组20例,均进行电子胃镜和EUS检查,EUS检查主要了解EGV及其他异常静脉情况等。结果胃镜检出53例均有食管静脉曲张(EV),EUS检出29例；胃镜检出胃底静脉曲张(GV)者18例,EUS检出24例。两种方法检出率比较差异有统计学意义(P＜0．001)。EUS共检测出穿通支阳性患者27例(51%),穿通支显示情况在不同F值(内镜下EV形态分级)中的分布差异有统计学意义(P＜0．001)。EUS下监测脾静脉在实验组和对照组直径分别为(11．5±3．5)mm、(7．5±1．35)mm,差异有统计学意义(P＜0．001)。实验组和对照组奇静脉近端直径分别为(8．77±2．94)mm、(7．36±1．29)mm,差异有统计学意义(P＜0．05)。结论EUS对PHT所致的食管胃底静脉曲张有较大的辅助诊断价值,尤其对管壁外的异常静脉检出有重要价值。
Objective To evaluate the effect of endoscopic ultrasonography（EUS） in diagnosing esophageal and gastric varices in portal hypertension （PHT） patients. Methods Fifty-three patients with esophageal and gastric varices （EV,GV）of decompensation PHT and 20 patients without PHT as control were undergone EUS and esophagogastroduodenoscopy（EGD） simultaneously. EUS detected mainly the EGV, esophagus and stomach collateral veins. Results EUS identified EV endoscopically in 29（54. 7% ） patients. EUS detected GV in 24 （45.3%） patients, compared with detection in 18 （34. 0% ）patients by esophagogastroduodenoscopy（EGD） （P 〈0. 001 ）. EUS detected PEV in 27 （51%） patients. Distribution rates of PEV in FI, F2 and F3 are 0%, 28.6% and 75% respectively. The comparison between groups shows significant difference （P 〈0. 001 ）. Splenic vein can be seen in both control and experimental groups with diameter 7.5 ± 1.35mm VS 11.5 ± 3.5mm respectively, the difference between two groups is significant（ P 〈 0. 001 ）. Proximal diameters of Azygos vein in two groups is 7. 36 ± 1.29mm VS 8.77 ± 2. 94mm respectively. Significant difference can be found （P 〈 0.05）. Conclusion EUS had significant value in the diagnosis of PHT with EV and GV, and especially in detecting abnormalities of extra-luminal veins.
出处
《中华消化内镜杂志》
2006年第3期179-182,共4页
Chinese Journal of Digestive Endoscopy
基金
广州市科委基金(99-Z-101-03)
关键词
内镜超声检查术
静脉曲张
诊断
Endoscopic uhrasonography
Varicose veins
Diagnosis
