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小探头超声用于胃底静脉曲张诊断及判断组织粘合剂疗效的初步评价 被引量:15

Preliminary assessment on the use of miniprobe sonography in the diagnosis of gastric varices and evaluation of its treatment with histoacryl
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摘要 目的 与常规内镜下肉眼判断比较 ,评价小探头超声检查在诊断胃底静脉曲张及评价内镜下组织粘合剂治疗疗效中的临床价值。方法  10例临床诊断为肝硬化的患者于内镜治疗前先行胃底腔内小探头超声检查 ,随后对诊断存在胃底静脉曲张的患者行内镜下组织粘合剂治疗 ,而后即刻再行小探头超声检查以观察其疗效。结果 常规内镜下肉眼判断与小探头超声检查对胃底静脉曲张的诊断准确率分别为 70 % ( 7/ 10 )和 10 0 % ( 10 / 10 ) ;后者还能对组织粘合剂治疗的疗效作出客观评价。结论 小探头超声检查无论对胃底静脉曲张的诊断还是判断其内镜治疗疗效均显著优于常规内镜下肉眼诊断 ,是临床一种安全性好且很有价值的检查手段。 Objective In comparison with the conventional endoscopy, the clinical value of miniprobe sonography (MPS) in the diagnosis of gastric varices and evaluation of its treatment with histoacryl were assessed. Methods Ten patients of liver cirrhosis were examined by MPS to verify the gastric varices before and after endoscopic treatment with histocrayl. The efficacy was defined by the finding of ultrasonic characteristics of variceal lumen blocking in MPS. Results The diagnostic accuracy of gastric varices by conventional macroscopic finding and MPS was 70% (7/10) and 100% (10/10), respectively. Furthermore, MPS can reveal the practical ultrasonic image of variceal lumen blocking in the assessment of the efficacy of endoscopic treatment with histoacryl. Conclusions MPS is demonstrated to be significantly superior to conventional macroscopic diagnosis in both detection of fundic varices and evaluation of efficacy of endoscopic therapy. It appears to be a safe and valuable technique which should be widely accepted for routine application.
出处 《中华消化杂志》 CSCD 北大核心 2000年第2期114-116,共3页 Chinese Journal of Digestion
关键词 食胃管静脉曲张 内镜治疗 超声波诊断 Esophageal and gastric varices Miniprobe sonography Diagnosis Endoscopic therapy
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