超声弹性成像技术诊断肝硬化食管胃静脉曲张的研究进展

Research advances in the value of ultrasound elastography in the diagnosis of gastroesophageal varices in patients with liver cirrhosis

慢性肝病患者死亡的独立危险因素之一即存在食管胃静脉曲张,目前推荐对存在高危食管胃静脉曲张的慢性肝病患者使用非选择性β受体阻滞剂或内镜治疗进行初步静脉曲张出血预防。叙述了超声弹性成像技术无创诊断肝硬化GOV的最新应用进展,认为诸如剪切波弹性成像等新技术在筛选性能方面有所提高,但单项检查不足以应用于临床实践,相比之下,组合检查或联合多项检查的方法更有效率,值得进一步探索。

The presence of gastroesophageal varices （ GOV）is one of the independent risk factors for the death of patients with chronic liverdiseases,and at present,non - selective β - blockers or endoscopic treatment is recommended for the prevention of variceal bleeding in patients with chronic liver diseases at a high risk of GOV. This article describes the latest advances in the noninvasive diagnosis of GOV in patients with liver cirrhosis with the help of ultrasound elastography and points out that although new techniques such as shear wave elastographyhave improved screening performance,a single examination is not sufficient for clinical practice. A combination of various examinations maybe more efficient and is worthy of further exploration.