CAJ | 학술논문

目的：探讨多层螺旋CT在评估食管出血危险性中的应用价值。方法选择肝硬化后食管静脉曲张患者50例，均行多层螺旋CT和胃镜检查，并以胃镜检查结果为标准评价多层螺旋CT在评估食管出血危险性中的应用价值。结果 CT血管成像评分与胃镜静脉曲张程度、胃镜红色征的严重程度均呈显著的正相关（r＝0．762、0．687，均P＜0．01），CT血管成像评分诊断胃镜红色征的RC 3的敏感性为76．92％，特异性为92．50％。结论多层螺旋CT与胃镜检查结果对食管静脉曲张严重程度的分级呈显著相关性，可以用来预测食管出血的危险性。
목적：탐토다층라선CT재평고식관출혈위험성중적응용개치。방법선택간경화후식관정맥곡장환자50례，균행다층라선CT화위경검사，병이위경검사결과위표준평개다층라선CT재평고식관출혈위험성중적응용개치。결과 CT혈관성상평분여위경정맥곡장정도、위경홍색정적엄중정도균정현저적정상관（r＝0．762、0．687，균P＜0．01），CT혈관성상평분진단위경홍색정적RC 3적민감성위76．92％，특이성위92．50％。결론다층라선CT여위경검사결과대식관정맥곡장엄중정도적분급정현저상관성，가이용래예측식관출혈적위험성。
Objective To investigate the clinical value of multi-slice spiral CT in the evaluation of esophageal variceal bleeding .Methods 50 cirrhosis patients with esophageal varices received multi-slice spiral CT and gastroscopy detection .The application value of multi-slice CT in the assessment of esophageal bleeding was evaluated according to the results of gastroscopy detection .Results CT angiography score had significantly positive correlation with the severity of endoscopic varices and endoscopic red color sign (r=0.762,0.687,all P<0.01).The sensitivity and specificity of CT angiography score in diagnosis of endoscopic red signs RC 3 were 76.92% and 92.50%. Conclusion The results of multi-slice CT and gastroscopy are positively correlated with the severity of esophageal varices,which can be used to predict the risk of esophageal bleeding .