期刊文献+

应用彩色多普勒超声评估肝硬化食管胃静脉曲张破裂出血风险的临床研究 被引量:5

Clinical study on the risk of esophageal variceal bleeding by color Doppler ultrasound in patients with liver cirrhosis
下载PDF
导出
摘要 目的探讨胃左静脉(left gastric vein, LGV)超声参数评价食管胃静脉曲张破裂出血(esophageal varicealbleeding, EVB)风险的价值。方法选择2016年1~12月在首都医科大学附属北京佑安医院治疗的肝硬化门静脉高压患者123例作为试验组。进一步分组为,既往发生过EVB组(H1组,n=63),未发生过上消化道出血组(H0组,n=60);根据食管胃静脉曲张(gastroesophageal varices, GOV)发生部位将H1组中检出LGV者又分为,食管静脉曲张组(E组,n=10)、胃静脉曲张组(G组,n=7)、食管-胃静脉曲张组(M组,n=20)。选择30例健康体检者作为对照组。应用彩色多普勒超声检测LGV的内径(LGVD)、血流速度(LGVV)和血流量(LGVF)。结果试验组全部患者的LGV检出例数为61例(49.59%),对照组为0(0%),2组间性别、年龄差异均无统计学意义。肝硬化患者中,H1组LGV参数均大于H0组,差异有统计学意义(P<0.05);E组、G组和M组3组间LGVV和LGVF差异有统计学意义(P<0.05),其中M组LGV参数均高于G组,差异有统计学意义(P<0.05)。结论彩色多普勒超声监测LGV血流动力学参数能够有效评估EVB风险并给予诊疗意见,具有重要的临床价值。 Objective To investigate the value of the ultrasonic parameters of the left gastric vein(LGV) in evaluating the risk of esophageal variceal bleeding(EVB). Methods One hundred and twenty three patients with cirrhotic portal hypertension were selected from January to December 2016. The patients were divided into the following groups: Hemorrhage group(H1, n=60): EVB occurred in the past; no hemorrhage group(H0, n=63): no upper gastrointestinal hemorrhage occurred. The H1 group was further divided into E group(n=10): esophageal varices; G group(n=7): gastric varices; M group(n=20): esophageal and gastric varices. In addition, 30 healthy subjects were selected as controls. Measurements of diameter(D), flow velocity(V) and blood flow(F) in the LGV were done in all patients and controls using color Doppler flow imaging(CDFI). The t-test, Mann-Whitney U non-parametric test, one-way analysis of variance or KruskalWallis H(K) non-parametric test were used for data analysis. Results In all the experimental group, the detection rate of LGV was 49.59%(61/123), while in controls, the detection rate was 0. In the patients with cirrhosis, the LGV parameters in group H1 were significantly higher compared with those of group H0(P 〈 0.05). And the differences of LGVV and LGVF among the group E, G, and M were statistically significant(P 〈 0.05). The LGV parameters in group M were significantly higher compared with those of group G(P 〈 0.05). Conclusion The LGV hemodynamic parameters of CDFI have important clinical value in predicting the risk of EVB.
作者 刘蔚媛 孟繁坤 Liu Weiyuan;Meng Fankun(Center of Ultrasound and Functional Diagnosis,Beijing You'an Hospital,Capital Medical University,Beijing 100069,China)
出处 《北京医学》 CAS 2018年第10期962-965,共4页 Beijing Medical Journal
关键词 肝硬化 食管胃静脉曲张破裂出血 彩色多普勒超声 胃左静脉 胃镜 cirrhosis esophageal variceal bleeding(EVB) color Doppler ultrasound left gastric vein(LGV) esophagogastroduodenoscopy
  • 相关文献

参考文献5

二级参考文献99

共引文献202

同被引文献54

引证文献5

二级引证文献11

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部