失代偿期肝硬化患者食管静脉曲张程度的分析

Analysis on the Clinical Correlation in Uncompensated Liver Cirrhosis with Esophageal Varices

目的了解肝硬化患者食管静脉曲张程度与门、脾静脉内径及脾脏厚度的关系及其临床价值。方法分析110例肝硬化失代偿期患者的临床资料,包括胃镜检查所见食管静脉曲张程度,腹部B超测门静脉内径、脾静脉内径及脾脏厚度。对患者的食管静脉曲张程度与门静脉内径、脾静脉内径以及脾脏厚度进行等级相关分析。结果食管静脉曲张严重程度与门静脉主干内径呈正相关(γs=0.292,P<0.01),与脾静脉内径呈正相关(γs=0.295,P<0.01),而且还与脾脏厚度呈正相关(γs=0.336,P<0.01)。结论测量门静脉、脾静脉内径以及脾脏厚度可判断门脉高压和食管静脉曲张程度,并预测食管静脉曲张破裂出血的风险。

Objective To study the correlation on the degree of esophageal varices with diameter of portal, diameter of splenic vein and thickness of spleen in clinic, and affording value in clinic. Methods 110 patients with hypertension were divided into 4 groups ： naught, mild, moderate and severe group based on the extent of esophageal varicosis. By measuring the diameter of portal vein, thickness of spleen and width of splenic vein in 4 groups to investigate their correlation with the extent of esophageal varicosis. Results According to the different degree of esophageal variees, the diameter of portal and splenic vein, thickness of spleen are di - ffered. There is positive correlation between the degree of esopha - geal varices with the diameter of portal and splenic vein and thick - ness of spleen. The rank - correlation coefficients are 0. 292, 0. 295 and 0. 336. Conclusion Diameter of portal and splenic vein, thickness of spleen, can provide valuable suggestion not only in predicting the presence of portal hypertion and esophageal varices but also in estimating the presence of hemorrhage of esophageal varices.