胃肠超声造影对胃底静脉曲张的诊断价值  

Diagnostic Value of Gastrointestinal Contrast Enhanced Ultrasonography for Varices of Gastric Fundus

作　　者：朱秀玲[1] 马琳[2] 王均[3] 刘玉敏[1] 李金英[1] 轩爱军[1] 唐靖[1] 苏静[1] 

机构地区：[1]河北省唐山市玉田县医院超声科,064100 [2]河北联合大学附属医院超声科 [3]河北省唐山市玉田县医院外科,064100

出　　处：《胃肠病学》2012年第6期363-365,共3页Chinese Journal of Gastroenterology

摘　　要：背景:食管胃静脉曲张是肝硬化门静脉高压的常见并发症。近年来,超声造影在胃肠疾病诊断中的应用日益受到关注。目的:探讨胃肠超声造影对胃底静脉曲张的诊断价值。方法:收集2009年3月～2011年9月于河北省玉田县医院接受胃镜和口服胃肠超声造影检查的肝硬化门静脉高压患者79例,回顾性分析胃肠超声造影的声像图特征,并以胃镜检查结果为"金标准",评价其对胃底静脉曲张的诊断价值。结果:79例肝硬化门静脉高压患者中41例经胃镜检查证实胃底静脉曲张,其中33例胃肠超声造影显示特征性声像图表现,曲张静脉内径(12.6±8.9)mm,血液流速(13.9±2.7)cm/s。胃肠超声造影诊断胃底静脉曲张的敏感性、特异性、准确率分别为80.5%(33/41)、100%(38/38)、89.9%(71/79)。结论:胃肠超声造影在胃底静脉曲张的诊断中具有较高应用价值,有望成为肝硬化门静脉高压患者胃底静脉曲张的初步筛查手段推广使用。Esophageal and gastric varices are common complications of portal hypertension in cirrhotic patients. Contrast enhanced ultrasonography has attracted much attention in the diagnosis of gastrointestinal diseases in recent years. Aims ： To investigate the diagnostic value of gastrointestinal contrast enhanced ultrasonography for varices of gastric fundus. Methods： A total of 79 cirrhotic patients with portal hypertension were collected from Mar. 2009 to Sep. 2011 at Yutian County Hospital, Hebei Province. All patients had received both gastroscopy and peroral gastrointestinal contrast enhanced ultrasonography , and the characteristics of ultrasonogram were analyzed retrospectively. Using the finding of gastroscopy as golden standard, the diagnostic value of gastrointestinal contrast enhanced ultrasonography for varices of gastric fundus was assessed. Results ： Forty-one cases were identified as having varices of gastric fundus by gastroscopy in 79 cirrhotic patients with portal hypertension. Of them 33 cases presented the characteristic uhrasonogram by gastrointestinal contrast enhanced ultrasonography. The inner diameter of varicose vein was （ 12.6 ± 8.9 ） mm, and the blood flow rate was （ 13.9±2.7） cm/s. Sensitivity, specificity and accuracy rate of gastrointestinal contrast enhanced ultrasonography for varices of gastric fundus were 80.5 % （33/41）, 100% （38/38） and 89.9% （71/79）, respectively. Conclusions ： Gastrointestinal contrast enhanced ultrasonography is valuable for the diagnosis of varices of gastric fundus and is expected to be widely used for preliminary screening of varices of gastric fundus in cirrhotic patients with portal hypertesion.

关 键 词：超声检查 造影剂 胃镜检查 食管和胃静脉曲张 敏感性与特异性 

分 类 号：R445.1[医药卫生—影像医学与核医学]