山东医药
山東醫藥
산동의약
SHANDONG MEDICAL JOURNAL
2014年
14期
55-57
,共3页
崔星亮%任海霞%王建华%刘晓东%路新卿
崔星亮%任海霞%王建華%劉曉東%路新卿
최성량%임해하%왕건화%류효동%로신경
彩色多普勒超声%食管静脉破裂出血%胃左静脉%胃左静脉分流指数
綵色多普勒超聲%食管靜脈破裂齣血%胃左靜脈%胃左靜脈分流指數
채색다보륵초성%식관정맥파렬출혈%위좌정맥%위좌정맥분류지수
color doppler ultrasound%esophageal variceal bleeding%left gastric vein%left gastric vein shunt index
目的:评价超声下胃左静脉指标测量在肝硬化食管胃底静脉破裂出血预测中的应用价值。方法对80例肝硬化门静脉高压患者(出血组34例,未出血组46例)和35例健康志愿者(对照组)行彩色多普勒超声检查,观察胃左静脉以及食管胃底静脉曲张情况,计算胃左静脉最大内径及胃左静脉分流指数。结果与对照组比较,门脉高压患者胃左静脉最大内径增宽,其中出血组胃左静脉最大内径大于未出血组及对照组(P<0.01)。以胃左静脉最大内径6.5 mm为出血预测标准,预测出血的特异性、敏感性和准确性分别为78.3%、73.5%、76.3%。胃左静脉分流指数截断值定于0.13时,预测出血的特异性、敏感性和准确性分别为82.5%、76.3%、69.8%。结论超声检查测量胃左静脉最大内径及胃左静脉分流指数有助于预测肝硬化食管胃底静脉破裂出血。
目的:評價超聲下胃左靜脈指標測量在肝硬化食管胃底靜脈破裂齣血預測中的應用價值。方法對80例肝硬化門靜脈高壓患者(齣血組34例,未齣血組46例)和35例健康誌願者(對照組)行綵色多普勒超聲檢查,觀察胃左靜脈以及食管胃底靜脈麯張情況,計算胃左靜脈最大內徑及胃左靜脈分流指數。結果與對照組比較,門脈高壓患者胃左靜脈最大內徑增寬,其中齣血組胃左靜脈最大內徑大于未齣血組及對照組(P<0.01)。以胃左靜脈最大內徑6.5 mm為齣血預測標準,預測齣血的特異性、敏感性和準確性分彆為78.3%、73.5%、76.3%。胃左靜脈分流指數截斷值定于0.13時,預測齣血的特異性、敏感性和準確性分彆為82.5%、76.3%、69.8%。結論超聲檢查測量胃左靜脈最大內徑及胃左靜脈分流指數有助于預測肝硬化食管胃底靜脈破裂齣血。
목적:평개초성하위좌정맥지표측량재간경화식관위저정맥파렬출혈예측중적응용개치。방법대80례간경화문정맥고압환자(출혈조34례,미출혈조46례)화35례건강지원자(대조조)행채색다보륵초성검사,관찰위좌정맥이급식관위저정맥곡장정황,계산위좌정맥최대내경급위좌정맥분류지수。결과여대조조비교,문맥고압환자위좌정맥최대내경증관,기중출혈조위좌정맥최대내경대우미출혈조급대조조(P<0.01)。이위좌정맥최대내경6.5 mm위출혈예측표준,예측출혈적특이성、민감성화준학성분별위78.3%、73.5%、76.3%。위좌정맥분류지수절단치정우0.13시,예측출혈적특이성、민감성화준학성분별위82.5%、76.3%、69.8%。결론초성검사측량위좌정맥최대내경급위좌정맥분류지수유조우예측간경화식관위저정맥파렬출혈。
Objective To evaluate the predictive value of the measuring index of left gastric venous in patients with liver cirrhosis and esophageal variceal bleeding .Methods The change of left gastric vein and esophageal varices in 80 pa-tients with liver cirrhosis and portal and 35 normal controls were observed by color Doppler sonography ,and statistical analy-sis the max inner diameter ,shunt index of left gastric vein .Results Compared with the control group ,the diameter of left gastric vein widened obviously in portal hypertension group , hemorrhage group was significantly higher than that in non bleeding group and the control group (P<0.01).shunt index of left gastric vein in hemorrhage group was significantly higher than that in non bleeding group and the control group .Non bleeding group was significantly higher than the control group.The maximum diameter of the left gastric vein for 6.5mm as bleeding prediction standard , predicting bleeding speci-ficity, sensitivity and accuracy were 78.3%, 73.5%, 76.3%.The left gastric vein shunt index is scheduled for 0.13, predict bleeding specificity , sensitivity and accuracy were 82.5%, 76.3%, 69.8%.Conclusion the max inner diameter and shunt index of left gastric vein are helpful for predicting gastroesophageal varices and variceal hemorrhage in Cirrhosis patients.