CT门静脉血管成像与内镜诊断胃食管静脉曲张的比较  

Diagnosis of Esophageal and Gastric Varices by CT Portography or Endoscopy

作　　者：陈旭平[1] 蒋志凌[1] 陈霞[1] 付丹[1] 刘军[2] 

机构地区：[1]成都市第六人民医院消化内科,成都610051 [2]成都市第六人民医院CT室,成都610051

出　　处：《华西医学》2013年第2期240-243,共4页West China Medical Journal

摘　　要：目的比较CT门静脉血管成像(CTP)与内镜诊断肝硬化胃食管静脉曲张的效果,探讨CTP对肝硬化门静脉高压侧支循环血管的显示及其在随访中的价值。方法对2010年1月-2011年12月收治的43例肝硬化患者行多排螺旋CT增强扫描门静脉血管成像,观察胃食管静脉曲张程度,及有无其他侧支开放,并在4周内行内镜检查,了解胃食管静脉曲张的程度。结果 43例患者中有33例经胃镜确诊食管静脉曲张,其中CTP诊断与胃镜相符29例;胃镜诊断胃底静脉曲张14例,其中有12例CTP诊断与之相符;CTP诊断胃食管静脉曲张与内镜有较好的相关性和一致性,但在判断食管静脉曲张部位上与胃镜一致性较差。结论对肝硬化患者可采用CTP进行随访,以评估胃食管静脉曲张出血风险,可减少不必要的内镜随访。Objective To evaluate the capability of CT portography（CTP） in detecting collateral circulation of liver cirrhosis with portal hypertension by comparing CTP and endoscopy on the diagnosis of esophageal and gastric varices.Methods A total of 43 patients with liver cirrhosis diagnosed between January 2010 and December 2011 underwent CT portography and endoscopic examinations within four weeks to detect esophageal or gastric varices.Results Among 33 patients with esophageal varices diagnosed by endoscopy,29 were also confirmed by CT portography,and among the 14 patients with gastric varices diagnosed by endoscopy,12 were also confirmed by CT portography.The CT portography clearly demonstrated the esophageal and gastric fundal varices,as well as major collateral vessels in liver cirrhosis.There was close correlation and substantial agreement between endoscopic and CT portography.Conclusion CT portography can be used as supplement examination of endoscopy in the diagnosis of esophageal and gastric varices.

关 键 词：门静脉高压 胃食管静脉曲张 门静脉造影术 内镜 体层摄影术 X线计算机 

分 类 号：R575.2[医药卫生—消化系统]