门静脉高压食管胃底静脉曲张程度的多因素分析  被引量:2

Analysis of the Factors of Esophageal-Gastric Varices in Portal Hypertension

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作  者:梁晓春[1,2,3] 王小宜[1,2,3] 王维[1,2,3] 曹觉 肖恩华[1,2,3] 

机构地区:[1]中南大学湘雅医院放射科,湖南长沙410008 [2]湘雅二医院放射科 [3]湘雅三医院放射科

出  处:《实用放射学杂志》2007年第8期1050-1052,共3页Journal of Practical Radiology

摘  要:目的探讨肝硬化门静脉高压患者食管及胃底静脉曲张程度与侧枝循环多个指标CT征象的依存性关系。方法门静脉高压组(A组)30例,正常对照组(B组)30例。CT测量2组的门静脉(PV)、胃冠状静脉(GCV)直径,胃底-脾门区静脉血管截面总面积,与胃镜结果进行多元线性回归分析。结果PV直径为(16.17±2.44)mm(A组)及(12.42±1.53)mm(B组),Beta=0.39。GCV直径为(6.22±2.41)mm(A组)及(3.39±1.03)mm(B组),Beta=0.85。胃底-脾门区静脉血管截面总面积:A组和B组分别为(5.14±5.96)mm2和(1.32±0.98)mm2,Beta=1.90。多元线性回归方程:y=0.39X1+0.85X2+1.90X3。结论胃底-脾门区静脉血管截面总面积作为一种新的CT检测指针对评价门静脉高压具有较高价值。Objective To evaluate the correlation of the CT features of the collateral circulation and the degree of esophageal - gastric varices in patients with portal hypertension caused by hepatic cirrhosis. Methods 30 cases with portal hypertension were in group A and 30 healthy people were in group B. The diameter of portal vein (PV) ,gastriccoronary vein (GCV) , the total cross - sectional surface area (CSA) of varices in gastro - splenic region were measured in both group A and B, the results and endoscopic signs were analysed with multiple linear regression. Results The diameters of PV were ( 16.17 ± 2.44 ) mm in group A and ( 12.42 ± 1.53 ) mm in group B, Beta = 0.39. The diameters of GCV were(6.22 ± 2.41 ) mm in group A and ( 3.39 ± 1.03 ) mm in group B, Beta = 0. 85. The total CSA of varieosis in gastro - spleuic region were(5.14 ± 5.96 ) cmz in group A and (1.32 ± 0.98 ) cmz in group B, Beta = 1.90. Multiple linear regression equation : y = 0.39X1 + 0.85Xz + 1.90X3 Conclusion The total CSA of varicosis in gastro - splenic region is a useful CT feature in evaluating portal hypertension.

关 键 词:门静脉高压 食管胃静脉曲张 侧枝循环 体层摄影术 X线计算机 

分 类 号:R543.6[医药卫生—心血管疾病] R571.3[医药卫生—内科学]

 

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