摘要
目的研究彩色多普勒的部分参数与胃镜下食管胃底静脉曲张的表现对比,为临床判断肝硬化程度及早期并发症提供参考指标。方法对内镜下证实肝硬化门脉高压征患者110例进行彩色超声检测分析,根据内镜结果按食管静脉曲张程度分为轻、中、重度3组,比较各组胃底静脉曲张发生比例,分析门静脉宽度、厚度与食管静脉曲张程度的关系。结果胃底静脉曲张与否与食管静脉曲张程度无关,差异无统计学意义(r=0.177,P>0.05)。脾脏厚度及脾脏长径与食管静脉曲张程度均有相关性(r值分别为0.329、0.338,P<0.05)。结论 B超的部分参数与胃镜下食管胃底静脉曲张的程度对比,脾脏厚度及脾脏长径可作为判断食管静脉曲张程度的间接指标。
Objective To make contrast to the parameters of Doppler ultrasonography to the oesophagus and the bottom of stomach varix in endoscope in cirrhotic patients with portal hypertension,then to offer the refference index in evaluating the degree of cirrhosis and early complications in clinic.Methods 110 consecutive cirrhotic patients with portal hypertension underwent upper endoscopy are divided into three groups： mild／moderate／severe according to the extent of esophageal varices.Comparing the proportion of gastric varices in different groups.Detecting diameter of portal vein and splenic vein,the thickness and length of spleen.Investigating the relationship between these parameters and the degrees of esophageal varices.Results There was no difference in the degrees of esophageal varices and the gastric varices （r=0.177,P0.05）.The thickness and length of spleen have significant differences in the different degrees of esophageal varices （r=0.329,0.338,P0.05）.Conclusion Contrasting the parameters of Doppler ultrasonography to the oesophagus and the bottom of stomach varix in endoscope,the thickness and length of spleen can provide valuable suggestions in predicting the degrees of esophageal varices.These parameters suggest the degrees of portal vein varices.
出处
《新疆医科大学学报》
CAS
2010年第8期979-981,共3页
Journal of Xinjiang Medical University
关键词
肝硬化
门脉高压
食管静脉曲张
胃镜
B超
liver cirrhosis
portal hypertension
esophageal varices
endoscopy
doppler ultrasonography
