超声内镜引导门静脉压力梯度测量的应用前景  

Application prospect of endoscopic ultrasound-guided portal pressure gradient measurement

作　　者：杜恒[1] 陈拥军 姚勇[1] DU Heng;CHEN Yongjun;YAO Yong(Department of Gastroenterology,Suining Central Hospital,Suining,Sichuan 629000,China)

机构地区：[1]遂宁市中心医院消化内科,四川遂宁629000

出　　处：《临床肝胆病杂志》2023年第4期936-940,共5页Journal of Clinical Hepatology

基　　金：四川省医学重点专科项目(川卫函〔2019〕305号);四川省医学科研课题计划(S18014);遂宁市中心医院科研课题(2021y23)。

摘　　要：门静脉压力测量对门静脉高压的诊断及病情评估有着十分重要的作用,目前尚无统一的方法用于门静脉压力的评估。随着超声内镜在消化系统疾病中的广泛运用,超声内镜引导门静脉压力梯度(EUS-PPG)测量被2021年BavenoⅦ会议纳入了研究议程,从而得到了广大学者的普遍关注。本文从门静脉压力测量技术的概述、EUS-PPG测量技术的发展和国内外常用的两种EUS-PPG测量方法,系统地阐述了EUS-PPG测量技术的运用前景。全球多项研究分析表明,EUS-PPG测量技术具有直接、微创、简单、准确、无辐射等优点,临床的可操作性较强,是门静脉压力测量方法的重要补充,并可能逐渐成为门静脉测压的主要方法之一。Portal pressure measurement plays an important role in the diagnosis and evaluation of portal hypertension,and at present,there is still no unified method for the assessment of portal vein pressure.With the wide application of endoscopic ultrasound in digestive system diseases,endoscopic ultrasound-guided portal pressure gradient(EUS-PPG)measurement was included in the research agenda of the 2021 Baveno-VII conference,thus attracting widespread attention of scholars.This article reviews portal pressure measurement techniques,the development of EUS-PPG measurement technique,and two commonly used methods for EUS-PPG measurement in China and globally and elaborates on the application prospect of EUS-PPG measurement technique.A number of studies around the world have shown that EUS-PPG measurement technique is a direct,minimally invasive,simple,accurate,and radiation-free technique with strong clinical operability,and it is an important supplement to portal pressure measurement methods and may gradually become one of the main methods for portal pressure measurement.

关 键 词：高血压 门静脉 腔内超声检查 测压法 

分 类 号：R575.2[医药卫生—消化系统]