彩色多普勒超声参数结合MELD积分对预测食管曲张静脉套扎后不良事件的作用研究  

The Clinic value of Color Doppler Ultrasound Parameters Combined with MELD in Predicting the Risk of Adverse Events After EVL

作　　者：魏倩[1] Wei Qian(Department of Ultrasound,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]成都医学院第一附属医院超声科,成都610500

出　　处：《成都医学院学报》2018年第5期600-602,605,共4页Journal of Chengdu Medical College

摘　　要：目的探讨MELD积分与彩色多普勒超声在测量门静脉参数,预测食管曲张静脉套扎(esophageal variceal ligation,EVL)后3周内再出血和死亡风险中的作用。方法选取2015年1月至2017年10月成都医学院第一附属医院因食管静脉曲张行EVL的124例肝硬化患者为研究对象,分析其再出血和死亡风险。结果 3周内共有47例(37.9%)发生再出血,其中3例(4.1%)死亡,MELD积分≥18、PV-CI≥0.11cm·s,EVL后3周内再出血风险增加,但与死亡风险并不相关。结论食管急性曲张性静脉出血患者MELD积分≥18且PV-CI≥0.11cm·s,EVL后3周内再出血的风险增加,MELD积分与彩色多普勒超声检查结合可有效预测EVL后近期再出血的风险。Objective To explore the clinic value of MELD combined with color Doppler ultrasound parameters in measuring portal vein parameters and predicting the risk of rebleeding or death in 3 weeks after esophageal variceal ligation （EVL）. Methods A total of 124 cirrhosis patients treated with EVL for esophageal varices from January of 2015 to October of 2017 in The First Affiliated Hospital of Chengdu Medical College were selected and the risk of rebleeding and death was analyzed retrospectively. Results Within 3 weeks after EVL, there were 3 cases of death （4.1%） and 47 cases of rebleeding （37.9%）. The MELD integral no less than 18 and PV-CI no less than 0.11cm·s increased the rebleeding risk in 3 weeks after EVL, while they were not correlated with the death risk. Conclusion The rebleeding risk in 3 weeks after EVL increases when the patients with acute variceal bleeding has MELD integral of no less than 18 and PV-CI of no less than 0.11cm·s. The combination of MELD integral and color Doppler ultrasound examination can effectively predict the rebleeding risk after EVL.

关 键 词：食管曲张静脉套扎 再出血 死亡 PV-CI MELD积分 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575.2[医药卫生—诊断学]