多层螺旋CT血管造影对食管胃底静脉曲张诊断价值研究

Diagnostic value of spiral CT angiography for esophageal and gastric varices

目的:探讨多层螺旋CT血管造影与超声内镜对食管胃底静脉曲张诊断价值.方法:选择在医院接受治疗的肝硬化患者97例进行研究.所有患者均由同一组具5年以上临床经验的医生进行多层螺旋CT血管造影与超声内镜检查,对比多层螺旋CT血管造影与超声内镜对食管胃底静脉曲张诊断价值.结果:多层螺旋CT血管成像参数门静脉直径、肠系膜上静脉直径及脾静脉直径均随食管胃底静脉曲张分级的升高而升高(P<0.05).一致性分析结果显示超声内镜与多层螺旋CT血管成像对食管胃底静脉曲张诊断kappa值为0.717,P<0.05.结论:多层螺旋CT血管造影与超声内镜对食管胃底静脉曲张诊断价值具有较高的一致性,临床上可用于食管胃底静脉曲张的诊断.

Objective: To compare the diagnostic value of multi-slice spiral CT angiography and endoscopic ultrasonography in esophageal and gastric varices.Methods: 97 patients with cirrhosis who received treatment in hospital were studied.All patients were examined by multi-slice spiral CT angiography and endoscopic ultrasonography by the same group of doctors with more than 5 years'clinical experience. The diagnostic value of multi-slice spiral CT angiography and endoscopic ultrasonography in esophageal and gastric fundus varices was compared. Results: The portal vein diameter, superior mesenteric vein diameter and splenic vein diameter of multi-slice spiral CT angiography were increased with the elevation of esophageal varices (P< 0.05).Consistency analysis showed that the kappa value of ultrasound endoscopic and multi-slice spiral CT angiography for the diagnosis of esophageal and gastric varices was 0.717, P< 0.05.Conclusion: Multi-slice spiral CT angiography and endoscopic ultrasonography have a high consistency in the diagnosis of esophageal and gastric varices, and can be used clinically for the diagnosis of esophageal and gastric varices.