增强CT对食管胃底静脉曲张的诊断价值  

The value of enhanced CT in the diagnosis of esophageal and gastric varices

作　　者：秦燕[1] 陈晓荣[1] 尚建敏[1] 张勇[1] 

机构地区：[1]湖北医药学院附属东风医院影像科,442000

出　　处：《现代消化及介入诊疗》2017年第3期297-299,共3页Modern Interventional Diagnosis and Treatment in Gastroenterology

摘　　要：目的探讨增强CT检查对食管胃底静脉曲张的临床诊断价值,为临床上此类疾病的诊断提供新的选择。方法对2015年1月至2016年12月我院消化内科收治的120例肝硬化合并食管胃底静脉曲张患者进行增强CT扫描和进行胃镜检查,以胃镜检查结果作为食管胃底静脉曲张检查的金标准,检验增强CT检查对肝硬化合并食管胃底静脉曲张的检查结果的准确率。结果经胃镜检查120例患者中单纯食管静脉曲张、单纯胃底静脉曲张和食管胃底静脉曲张患者分别为49例(40.83%)、28例(23.33%)、43例(35.83%)。增强CT检查结果中单纯食管静脉曲张、单纯胃底静脉曲张和食管胃底静脉曲张患者分别有45例(37.50%)、26例(21.67%)、40例(33.33%),有9例患者未能确诊。与胃镜检查结果相比,增强CT检查准确率分别为91.84%(45/49)、92.86%(26/28)、93.02%(40/43),两种检查方法相比差异不具统计学意义(P>0.05)。将患者根据胃镜检查曲张程度分为轻中重三组,在增强CT下测量三组的门静脉、脾静脉内径值,组间比较差异明显,曲张程度越重则门静脉、脾静脉内径值越大。结论增强CT在诊断食管胃底静脉曲张时有较高的准确率,对于曲张程度判断也具有一定的准确性,因此增强CT检查对食管胃底静脉曲张有较高的临床诊断价值,可在临床上推广使用。Objective To explore the clinical value of enhanced CT in the diagnosis of esophageal and gastric varices. Methods A total of 120 cases of liver cirrhosis with esophageal and gastric varices admitted our hospital from January 2015 to December 2016 were selected in this study. The patients underwent enhanced CT scan and gastroscopy, and the accuracy of enhanced CT in the detection of cirrhosis with gastroesophageal varices was accessed based on gastroscope examination results. Results In gastroscope examination, there were 49 cases （40.83%） of simple esophageal varices, 28 cases （23.33%） of simple gastric varices, and 43 cases （35.83%） of gastroesophageal varices. In enhanced CT scan examination, there were 45 cases （37.50%） of sim-ple esophageal varices, 26 cases （21.67%） of simple gastric varices, and 40 cases （33.33%） gastroesophageal varices. Compared with the results of gastroscopy, the accuracy rate of enhanced CT was 91.84% （45/49）, 92.86%（26/28）, and 93.02%（40/43）, respectively. The difference between the two methods was not statistical-ly significant （P〉0.05）. However, the diagnostic value of enhanced CT was significant difference in detection of portal vein diameter and spleen vein diameter for mild, moderate, and severe patients. The more severe of varices, the greater the diameter of portal vein and splenic vein. Conclusion Enhancement of CT in the diag-nosis of esophageal and gastric varices has a higher accuracy rate, and also has a certain degree of accuracy to judge the degree of varices.

关 键 词：增强CT 胃镜检查 食管胃底静脉曲张 诊断准确率 

分 类 号：R571.3[医药卫生—消化系统]