超声内镜对食管胃静脉曲张的诊断价值研究

发布时间：2018-05-05 22:20

本文选题：超声内镜 + 食管胃静脉曲张　；参考：《南京医科大学学报(自然科学版)》2015年10期

【摘要】：目的 :研究和探讨超声内镜(EUS)对食管胃静脉曲张(EGV)的诊断价值。方法 :选择临床确诊存在食管胃静脉曲张的患者30例,其中出血组16例,未出血组14例,分别进行常规电子胃镜和EUS检查,EUS检查主要了解EGV及食管周围静脉穿通支(PEV)、奇静脉情况等。结果:常规胃镜检出30例患者均有食管静脉曲张(EV),EUS检出15例;常规胃镜检出胃底静脉曲张(GV)者11例,EUS检出19例。两种方法检出率比较差异有统计学意义(P0.05)。在出血组和未出血组中EUS各检测出食管周围静脉穿通支阳性患者15例和7例,差异有统计学意义(P0.05)。出血组患者中,食管周围静脉穿通支最大直径为(6.1±2.3)mm,奇静脉最大直径为(11.8±1.9)mm;未出血组患者中,两者分别为(3.7±1.7)mm和(8.1±2.2)mm,差异有统计学意义(P0.05)。结论:EUS对胃底静脉曲张有较高的诊断价值;食管周围曲张静脉穿通支、奇静脉对食管胃静脉曲张出血风险可能具有预测价值。
[Abstract]:Objective: to study the value of EUS in the diagnosis of esophageal and gastric varices (EGV). Methods: thirty patients with esophageal and gastric varices were selected, including 16 cases of bleeding group and 14 cases of non-bleeding group. Routine electronic gastroscopy and EUS examination were performed to evaluate the EGV and the perforating branches of the esophageal vein, the azygos vein and so on. Results: EVUS was detected in 15 patients with esophageal varices in 30 patients under conventional gastroscopy and in 19 patients with varicose varices in 11 patients by conventional gastroscopy. The detection rate of the two methods was significantly different (P 0.05). In the bleeding group and the non-bleeding group, EUS was detected in 15 cases and 7 cases respectively in the perforating branch of the esophageal vein. The difference was statistically significant (P 0.05). In the bleeding group, the maximum diameter of perforating branch of periesophageal vein was 6.1 卤2.3 mm, the maximum diameter of azygos vein was 11.8 卤1.9 mm, and that of non-bleeding group was 3.7 卤1.7)mm and 8.1 卤2.2 mm, respectively (P 0.05). ConclusionEUS has a high diagnostic value for gastric fundus varices, and perforating branches of periesophageal varices and azygos veins may have predictive value in the risk of esophageal and gastric varices bleeding.
【作者单位】：南京医科大学附属无锡市第二人民医院消化内科;
【基金】：无锡市卫生局科研项目(Q201304)
【分类号】：R575.2

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