CAJ | 학술논문

目的分析肝硬化门脉高压患者门静脉系统血管径线变化及与食管静脉曲张出血的关系,探讨多层螺旋CT门静脉成像(MSCTP)在肝硬化分级及食管静脉曲张出血中的临床价值.方法使用多层螺旋CT对200例对照组及63例肝硬化患者(出血组31例、非出血组32例)的门静脉、脾静脉和肠系膜上静脉直径及门静脉长度的测定,比较门静脉诸血管参数在对照组与肝硬化组、不同肝硬化分级间及食管静脉曲张出血间有无差异.结果肝硬化组门静脉上述参数均大于对照组(P<0.01),但在肝硬化分级中除肠系膜上静脉Child-Pugh C级较A与B级增宽外,其他参数差异均无统计学意义(P>0.05).出血组的门静脉参数较非出血组除门静脉长度外均有增大(P<0.05).结论 MSCTP能够反映肝硬化门静脉高压的程度.并对预测食管静脉出血有重要临床意义.
목적 분석간경화문맥고압환자문정맥계통혈관경선변화급여식관정맥곡장출혈적관계,탐토다층라선CT문정맥성상(MSCTP)재간경화분급급식관정맥곡장출혈중적림상개치.방법 사용다층라선CT대200례대조조급63례간경화환자(출혈조31례、비출혈조32례)적문정맥、비정맥화장계막상정맥직경급문정맥장도적측정,비교문정맥제혈관삼수재대조조여간경화조、불동간경화분급간급식관정맥곡장출혈간유무차이.결과 간경화조문정맥상술삼수균대우대조조(P<0.01),단재간경화분급중제장계막상정맥Child-Pugh C급교A여B급증관외,기타삼수차이균무통계학의의(P>0.05).출혈조적문정맥삼수교비출혈조제문정맥장도외균유증대(P<0.05).결론 MSCTP능구반영간경화문정맥고압적정도.병대예측식관정맥출혈유중요림상의의.
Objective To analyze the diameter and length of portal system in cirrhotics with portal hypertension and its correlation with esophageal variceal bleeding(EVB) and evaluate the clinic value in cirrhotic grade and esphgeal variceal bleeding with multi-slice CT(MSCT) portography. Methods All 63 patients with cirrhosis and 200 cases in control group underwent MSCT and the diameter of the portal trunk, spleen vein, superior mesenteric vein and the length of portal trunk were measured, the blood vessel parameters of portal system were compared with those of control group and cirrhotic group,different cirrhotic classes and were compared with EVB and no EVB. Results The above parameters of portal system in cirrhotic group were all higher than those of control group(P<0.01),the diameter of super mesenteric vein in Child-Pugh C grade was larger than that in Child-Pugh A and B grade, the rest parameters were no statistic significance in different cirrhotic grades(P>0.05). The portal diameter of EVB group was larger than that of no EVB group(P <0.05). Conclusion MSCTP can reflect the extent of cirrhotic portal hypertension and is of great clinic value in the estimation of EVB.