肝硬化食管胃底静脉曲张无创性影像学评估的研究进展  

Research Progress of Noninvasive Imaging Evaluation of Esophagogastric Varices in Liver Cirrhosis

作　　者：陈洁华 陈成彩 黄艳梅 钟恒朝 CHEN Jiehua;CHEN Chengcai;HUANG Yanmei;ZHONG Hengchao(Department of Medical Ultrasonics,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China)

机构地区：[1]右江民族医学院附属医院超声医学科,广西百色533000

出　　处：《医学综述》2023年第2期376-380,共5页Medical Recapitulate

基　　金：广西肝胆疾病分子病理学重点实验室开放课题(GXZDSYS-001);右江民族医学院附属医院高层次人才科研项目人才专项(Y202011713);百色市科学研究与技术开发计划课题(百科20221410)。

摘　　要：食管胃底静脉曲张(EGV)是肝硬化的严重并发症,若未能及时诊断与干预,易发生破裂导致大出血,严重威胁患者生命。胃镜检查是目前诊断及监测EGV发生发展的最佳方法。近年来应用影像学方法评估肝硬化EGV的研究逐渐增多,CT和磁共振成像在EGV评估中均具有较高价值,但存在辐射损伤、价格昂贵等缺点;常规超声技术对EGV的发展以及肝癌的预防筛查具有重要作用;超声弹性成像方便、快捷,但准确性欠佳;多项技术联合检查效果更好,但仍需未来进一步研究探讨。Esophageal and gastric varices(EGV)is a serious complication of cirrhosis,and if not diagnosed and intervened in time,rupture leading to hemorrhage may easily happen,which is a serious threat to the patients′lives.Gastroscopy is currently the best method to diagnose and monitor the development of EGV.In recent years,more and more studies have been done to evaluate EGV in liver cirrhosis with imaging methods,and CT and magnetic resonance imaging have high value in the assessment of EGV,although there are disadvantages such as radiation damage and high price;conventional ultrasound technology plays an important role in the development and the prevention and screening of ETV in liver cancer;ultrasound elastography is convenient and fast,but the accuracy is not good;the effect of combination of several technologies is better,but further research is still needed in future.

关 键 词：食管胃底静脉曲张 无创性评估 计算机断层扫描 超声 磁共振成像 

分 类 号：R445.1[医药卫生—影像医学与核医学]