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时间:2020-05-24
《超声下胃左静脉指标在肝硬化食管静脉曲张破裂出血预测中的应用.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、山东医药2014年第54卷第14期超声下胃左静脉指标在肝硬化食管静脉曲张破裂出血预测中的应用崔星亮,任海霞。王建华,刘晓东,路新卿(河北工程大学附属医院,河北邯郸056029)摘要: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
2、及对照组(P<0.01)。以胃左静脉最大内径6.5mm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。关键词: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doi:10.3969/j.issn.1002-266X.2014.14.022中图分类号:R575.2文献标志码:B文章编号:
3、1002-266X(2014)14-0055-03PredictivevalueofthemeasuringindexofleftgastricvenousinpatientswithlivercirrhosisandesophagealvaricealbleedingCU/xtng—liang,RENHal—xia,WANGJian—hua,LIUXiao—doTg,LUXin—qing(AffililiatedHospitalofHebeiUniversityofEngineering,Handan056029)Abstract:
4、ObjectiveToevaluatethepredictivevalueofthemeasuringindexofleftgastricvenousinpatientswithlivercirrhosisandesophagealvaricealbleeding.MethodsThechangeofleftgastricveinandesophagealvaricesin80pa-dentswithlivercirhosisandportaland35normalcontrolswereobservedbycolorDopplers
5、onography,andstatisticalanaly—sisthemaxinnerdiameter,shuntindexofleftgastricvein.ResultsComp~edwiththecontrolgroup,thediameterofleftgastricveinwidenedobviouslyinportalhypertensiongroup,hemorhagegroupwassignificantlyhigherthanthatinnonbleedinggroupandthecontrolgroup(P<0.
6、O1).shuntindexofleftgastricveininhemorhagegroupwassignificantlyhigherthanthatinnonbleedinggroupandthecontrolgroup.Nonbleedinggroupwassignificantlyhigherthanthecontrolgroup.Themaximumdiameteroftheleftgastricveinfor6.5mmasbleedingpredictionstandard,predictingbleedingspeci
7、-ficity,sensitivityandaccuracywere78.3%,73.5%,76.3%.Theleftgastricveinshuntindexisscheduledfor0.13,predictbleedingspecificity,sensitivityandaccuracywere82.5%,76.3%,69.8%.Conclusionthemaxinnerdiameterandshuntindexofleftgastricveinarehelpfulforpredictingga,;troesophagealv
8、arieesandvarieealhemorrhageinCirrhosispatients.Keywords:colordopplerultrasound;esophagealvaricealbleeding;left
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