超声内镜在肝硬化门静脉高压胆总管病变中的诊断意义(附37例报告)  

Diagnostic significance of echoendoscope in portal hypertension common bile duct lesions in liver cirrhosis(37 cases)

作　　者：章復龙 徐晶 朱元东 施言 Zhang Fulong;Xu Jing;Zhu Yuandong;Shi Yan(Department of Gastroenterology,Xixi Hospital of Hangzhou,Hangzhou,Zhejiang 310023,China)

机构地区：[1]杭州市西溪医院消化内科,浙江杭州310023

出　　处：《中国内镜杂志》2024年第6期80-82,共3页China Journal of Endoscopy

摘　　要：目的探索超声内镜在肝硬化门静脉高压胆总管病变中的诊断意义。方法回顾性分析2022年11月-2023年1月该院37例肝硬化门静脉高压食管胃静脉曲张患者的临床资料,经超声内镜扫查胆总管,观察胆总管壁厚度,测定胆总管宽度和胆总管腔情况。结果胆总管壁毛糙的97.3%(36/37),胆总管壁平均厚度0.19 cm,胆总管平均宽度0.47 cm,胆总管腔内絮状物沉积的73.0%(27/37),胆总管扭曲的13.5%(5/37),在超声内镜检查中,所有患者的食管胃静脉曲张均无出血。结论超声内镜在肝硬化食管胃静脉曲张检查中,能清晰地显示肝硬化门静脉高压胆总管情况,大部分肝硬化门静脉高压患者存在胆总管炎性病变,但所有患者均无胆管炎的临床症状。Objective To investigate the importance of echoendoscope in identifying common bile duct lesions associated with portal hypertension in liver cirrhosis.Methods From November 2022 to January 2023,a group of 37 individuals suffering from liver cirrhosis,portal hypertension,esophageal,and gastric varices underwent echoendoscope analysis to assess the common bile duct wall's thickness,its width,and to examine its cavity's dimensions.Result The common bile duct's wall exhibited roughness with 97.3%(36/37),with an average thickness of 0.19 cm,a width of 0.47 cm,and flocculent deposits constituting 73.0%(27/37).The typical bile duct exhibited curvature in 13.5%(5/37).None of the patients experienced bleeding either during or following the echoendoscope examination.Conclusion The use of echoendoscope distinctly reveals cirrhosis-induced common bile duct and portal hypertension;a majority of cirrhosis and portal hypertension sufferers exhibit inflammation in the common bile duct;this technique is deemed safe for assessing esophageal and gastric varices in cirrhosis patients.

关 键 词：超声内镜 肝硬化 门静脉高压 食管胃静脉曲张 胆管炎 

分 类 号：R657.34[医药卫生—外科学]