彩色多谱勒超声在门脉高压食道胃底静脉曲张的临床应用  

Clinical value of assessment on the esophageal-gastric varices in patients with esophageal varices by color Doppler sonography

作　　者：李阳 何德宏 刘威 姚志勇 江勇[2] 

机构地区：[1]南京明基医院超声科,江苏南京210019 [2]江苏省常州市第一人民医院,江苏常州213003

出　　处：《中国医药导报》2014年第5期93-95,98,共4页China Medical Herald

基　　金：江苏省卫生厅青年科研课题(编号H200870)

摘　　要：目的 探讨应用彩色多普勒超声判断门静脉高压食道胃底静脉曲张（EGV）的临床应用价值.方法 选取南京明基医院超声科消化内科2011年1月～2012年12月确诊肝硬化门脉高压患者60例,分为轻度组（18例）、中度组（13例）、重度组（29例）;选择正常组20例.通过彩色多普勒超声测量脾长径（SL）、脾厚径（ST）、门静脉内径及血流速度、脾静脉宽度（SV）、门静脉宽度（PV）,并进行分析脾脏指数（SI）、门静脉充血分数（CI）、PV/SV值.结果 轻、中、重度组CI值分别为（0.077±0.021）、（0.093 ±0.008）、（0.134±0.024）,SI值分别为（69.21±13.74）、（77.81±14.32）、（91.37±16.52）cm2,PV/SV值分别为（1.33±0.14）、（1.29±0.07）、（1.17±0.31）,分别与正常组比较,差异有统计学意义（P＜0.05）.SI来判断食道胃底静脉曲张的敏感性为67.3％,特异性为95.4％;门静脉充血分数CI的敏感性为95.1％,特异性为77.5％;PV/SV值的敏感性为58.9％,特异性为71.7％.结论 通过彩色多普勒超声测量SI、CI、PV/SV值来判断EGV敏感性好,特异性高,是一种非侵入性检查门脉高压食道胃底静脉曲张方法,值得临床推广使用.Objective To discuss color Doppler sonography assessing risks of esophageal-gastric variceal （EGV） in patients. Methods 60 patients with portal hypertension in Nanjing BenQ Hospital from January 2011 to December 2012 were selected as portal hypertension group and divided into mild group （18 cases）, moderate group （13 cases）, severe group （29 cases）, and 20 normal cases were chosen as normal group. Spleen length （SL）, spleen thickness （ST）, portal vein diameter （PV）, splenic vein diameter （SV） were measured by color Doppler sonography, and spleen index （SI）, portal vein congestion scores （CI）, value of PV/S were analyzed. Results CI of mild group, moderate group and severe group were （0.077±0.021）, （0.093±0.008）, （0.134±0.024）; SI of mild group, moderate group and severe group were （69.21± 13.74）, （77.81±14.32）, （91.37±16.52）cm2; PV/SV of mild group, moderate group and severe group were （1.33±0.14）, （1.29± 0.07）, （1.17±0.31）, compared with normal group, the differences were statistically significant （P 〈 0.05）. SI was determined EGV, the sensitivity was 67.3% and specificity was 95.4%; CI was determined EGV, the sensitivity was 95.1% and specificity was 77.5%; value of PV/SV was determined EGV, the sensitivity was 58.9%and specificity was71.7%. Conclusion The color Doppler sonography is valuable in the judgement of the hemodynamic changes in portal hypertension, by measured SI, CI, and value of PV/SV.

关 键 词：彩色多谱勒超声 食道胃底静脉曲张 门脉高压 

分 类 号：R657.31[医药卫生—外科学]