CAJ | 학술논문

目的：探讨超声造影在食管静脉曲张诊治中的价值。方法：随机选择50例肝硬化伴食管静脉曲张患者及同期健康体检者50名，分别行常规超声及超声造影检查，动态观察食管下段及病灶区造影剂充盈情况。超声造影前2周或造影后2周内行胃镜检查，明确有无食管静脉曲张及其程度。结果：观察组食管下段的管壁较对照组厚，2组比较差异有统计学意义(P＜0.05)；其前后径和左右径也较对照组大，2组比较差异有统计学意义(P＜0.05)。超声造影诊断食管静脉曲张的敏感性为96.00%，特异性为100.00%，阳性预测值为100.00%，阴性预测值为96.15%，准确率为100.00%。结论：超声造影诊断食管静脉曲张的敏感性和特异性高。
목적：탐토초성조영재식관정맥곡장진치중적개치。방법：수궤선택50례간경화반식관정맥곡장환자급동기건강체검자50명，분별행상규초성급초성조영검사，동태관찰식관하단급병조구조영제충영정황。초성조영전2주혹조영후2주내행위경검사，명학유무식관정맥곡장급기정도。결과：관찰조식관하단적관벽교대조조후，2조비교차이유통계학의의(P＜0.05)；기전후경화좌우경야교대조조대，2조비교차이유통계학의의(P＜0.05)。초성조영진단식관정맥곡장적민감성위96.00%，특이성위100.00%，양성예측치위100.00%，음성예측치위96.15%，준학솔위100.00%。결론：초성조영진단식관정맥곡장적민감성화특이성고。
Objective:To discuss the value of ultrasonography in diagnosing esophageal pile. Methods:Fifty patients suffering from liver cirrhosis and esophageal pile, fifty patients who underwent health examination were examined with routine ultrasound and ultrasonography, the conditions of contrast medium in the lower esophagus and focal zones were observed dynamically. The patients were examined in two weeks before or after ultrasonography with gastroscope, to find out whether the patients were suffering from esophageal pile or not and the degrees. Results:Wall of the lower esophagus in the observation group was thicker than that in the control group, the difference demonstrated statistical meaning (P<0.05); anteroposterior diameter and left-right diameter of the observation group were larger than these of the control group, the difference had statistical meaning (P<0.05). The sensibility of ultrasonography in diagnosing esophageal pile was 96.00%, the specificity was 100.00%, positive predicted value was 100.00%, negative predicted value was 96.15% and the accuracy was 100.00%. Conclusion:Ultrasonography in diagnosing esophageal pile is with high sensibility and specificity.