80例肝硬化食管静脉曲张CTA表现与胃镜检查比较分析

Comparative analysis of CTA manifestations and gastroscopy in 80 cases of hepatic cirrhosis combined with esophageal varices

目的:通过肝硬化食管静脉曲张CTA表现与胃镜检查比较,提高CTA对食管静脉曲张影像学诊断水平及价值。方法:随机选取80例一周内检查胃镜及CTA的肝硬化食管静脉曲张患者,与胃镜结果比较,观察分析食管静脉曲张的CTA表现。结果:胃镜检查患者中静脉曲张发现轻度、中度、重度分别为24、27、29例,CTA检查发现轻度、中度、重度分别为23、26、29例,与胃镜结果比较,CTA对食管静脉曲张诊断的一致率(kappa值为0.886),具有高度一致性。结论:食管静脉曲张CTA具有较高检出率,且为非侵入性诊断方式,易为患者所接受,对临床治疗和随访有较高的临床价值。

Objective Objective To improve the value of CTA in the diagnosis of esophageal varices by comparing the CTA manifestations and gastroscopy of hepatic cirrhosis combined with esophageal varices. s and gastroscopy of hepatic cirrhosis combined with esophageal varices. Methods Methods 80 patients with esophageal varices underwent CTA and gastroscopy within one week, the results of CTA manifestations were cornpared with that of gastroscopy.. Results Results The results of gastroscopy showed 24 cases of mildesophageal varices, 27 cases of moderateesophageal varices and 29 cases of severeesophageal varicesthe, then CTA examination showed mild, moderate and severe were 23, 26 and 29 cases, CTA had high consistency with gastroscopy(Kappa value=0.886) in showing esophagealvarices. d 29 cases, CTA had high consistency with gastroscopy(Kappa value=0.886) in showing esophagealvarices. Conclusion Conclusion CTA has a high detection rate for esophageal varices, and it's a non-invasive diagnostic method, which is easy to be accepted by patients, these have high value for clinical treatment and follow-up.