超声造影在食管静脉曲张诊治中的诊断价值

Diagnostic Value of Ultrasonography in Treating Esophageal Pile

目的:探讨超声造影在食管静脉曲张诊治中的价值。方法:随机选择50例肝硬化伴食管静脉曲张患者及同期健康体检者50名,分别行常规超声及超声造影检查,动态观察食管下段及病灶区造影剂充盈情况。超声造影前2周或造影后2周内行胃镜检查,明确有无食管静脉曲张及其程度。结果:观察组食管下段的管壁较对照组厚,2组比较差异有统计学意义(P<0.05);其前后径和左右径也较对照组大,2组比较差异有统计学意义(P<0.05)。超声造影诊断食管静脉曲张的敏感性为96.00%,特异性为100.00%,阳性预测值为100.00%,阴性预测值为96.15%,准确率为100.00%。结论:超声造影诊断食管静脉曲张的敏感性和特异性高。

Objective：To discuss the value of ultrasonography in diagnosing esophageal pile. Methods：Fifty patients suffering from liver cirrhosis and esophageal pile, fifty patients who underwent health examination were examined with routine ultrasound and ultrasonography, the conditions of contrast medium in the lower esophagus and focal zones were observed dynamically. The patients were examined in two weeks before or after ultrasonography with gastroscope, to find out whether the patients were suffering from esophageal pile or not and the degrees. Results：Wall of the lower esophagus in the observation group was thicker than that in the control group, the difference demonstrated statistical meaning （P〈0.05）; anteroposterior diameter and left-right diameter of the observation group were larger than these of the control group, the difference had statistical meaning （P〈0.05）. The sensibility of ultrasonography in diagnosing esophageal pile was 96.00%, the specificity was 100.00%, positive predicted value was 100.00%, negative predicted value was 96.15% and the accuracy was 100.00%. Conclusion：Ultrasonography in diagnosing esophageal pile is with high sensibility and specificity.