肝脾体积比值对预测食管胃底静脉曲张程度的临床应用价值

The clinical application of the ratio of liver to spleen volume on predicting the degrees of esophageal and gastric varices by CT enhancement scanning

目的探讨肝脾体积比值对预测食管胃底静脉曲张程度的临床应用价值。方法对确诊为肝硬化的患者71例进行CT增强扫描,测定肝脾体积比值,比较胃镜检查不同级数静脉曲张患者的肝脾体积比值。结果胃镜检查食管胃底静脉曲张0级9例,1级29例,2级26例,3级7例。不同级别食管胃底静脉曲张组的肝脾体积比差异均有统计学意义(P<0.01)。结论肝脾体积比值与食管胃底静脉曲张程度有密切关系,比值越高曲张程度越严重。

Objective To analyze the clinical application of the ratio of liver to spleen volume on predicting the degrees of esophageal and gastric varices by CT enhancement scanning. Methods 71 patients in our hospital with liver cirrhosis were performed enhanced CT scan on the liver and spleen and the ratio of liver volume to spleen volume was determined. The gastroscope examination and the different series of patients with varicose veins were compared.Results Gastroscopic examination of esophageal and gastric varices were grade 0 in 9 cases,grade 1 in 29 cases,grade 2 in 26 cases and grade 3 in 7 cases. Different levels of esophageal and gastric varices group were significantly different between liver and spleen volume ratio（ P〈0. 01）. Conclusion The ratio of liver to spleen volume and esophageal gastric varices are closely related,the higher the ratio the more serious the degree of varices.