门脉CT血管成像联合内镜治疗肝硬化食管胃静脉曲张应用价值研究

Value of portal vein CTA combined with endoscopy in treatment of gastroesophageal varices in liver cirrhosis

目的:研究门脉CT血管成像(CTA)联合内镜在肝硬化食管胃静脉曲张(GOV)治疗中的应用价值。方法:纳入肝硬化GOV患者180例,随机分为对照组和联合组,各90例。对照组使用内镜进行诊断和治疗,联合组使用CTA联合内镜进行诊断和治疗。对门脉CTA和内镜对肝硬化GOV分型的诊断一致性进行分析。对两组的GOV改善情况、临床结果和安全性进行比较。结果:门脉CTA和内镜在对肝硬化GOV分型诊断中,具有较好的诊断一致性。联合组治疗后的GOV改善率明显高于对照组(P<0.05)。联合组的治疗次数、GOV消失时间均明显低于对照组(P<0.05)。治疗后,联合组的并发症发生率明显低于对照组(P<0.05)。结论:门脉CTA和内镜在对肝硬化GOV分型的诊断中具有良好的一致性。门脉CTA联合内镜在肝硬化GOV治疗中,可有助于提高对肝硬化GOV的改善效果,减少治疗次数和GOV消失时间,且安全性好。

Objective:To study the application value of portal vein CT angiography(CTA)combined with endoscopy in the treatment of gastroesophageal varices(GOV)in liver cirrhosis.Methods:A total of 180 GOV patients with liver cirrhosis were enrolled and randomly divided into control group and combination group,with 90 cases in each group.The control group used endoscopy for diagnosis and treatment,and the combination group used CTA combined with endoscopy for diagnosis and treatment.The diagnostic consistency of the GOV classification of liver cirrhosis by portal vein CTA and endoscopy was analyzed.The GOV improvement,clinical results and safety of the two groups were compared.Results:Portal vein CTA and endoscopy had good consistency in the diagnosis of GOV classification of liver cirrhosis.The GOV improvement rate of the combined group after treatment was significantly higher than that of the control group(P<0.05).The number of treatments and the disappearance time of GOV in the combination group were significantly lower than those in the control group(all P<0.05).After treatment,the complication rate of the combined group was significantly lower than that of the control group(P<0.05).Conclusion:Portal vein CTA and endoscopy have good consistency in the diagnosis of liver cirrhosis GOV type.Portal vein CTA combined with endoscopy in the treatment of GOV for liver cirrhosis can increase the improvement rate of GOV for liver cirrhosis,reduce the number of treatments and the disappearance time of GOV,and has good safety.