无创性预测肝硬化食管静脉曲张破裂出血的临床探究.pdfVIP

CHINESECOMMUNITY DOCTORS 实验研究 无创性预测肝硬化食管静脉曲张破裂出血的临床探究 薛振龙 奚美娟 魏巍 周晓峰 陶剑 215500江苏省常熟市中医院 doi:10.3969/j.issn.1007-614x.2016.28.1 基金项目 江苏常熟市科技局资助项目，项目编号：CS201315 摘 要 目的：探讨彩色多普勒超声测定肝硬化门静脉血流参数与门脉高压致食管静脉曲张破裂出血的关系。方 法：收治门脉高压患者62例及正常对照组30例，应用彩色多普勒超声分别测定出血组与未出血组肝硬化患者门静脉 及胃左静脉的血管腔内径、流速、流量。结果：与正常对照组比较，肝硬化患者PV、LGV血流学参数差异均有统计 学意义(P＜0.01)，出血组中胃左静脉血液方向为离肝者较未出血组明显增多。结论：彩色多普勒超声测定PV、LGV 血流参数对临床预测食管静脉曲张破裂出血可提供有价值的临床参考数据。 关键词 彩色多普勒超声；胃左静脉；门静脉；食管静脉破裂出血 Clinicalstudyonnoninvasivepredictionofesophagealvaricesbleedinginpatientswithcirrhosis XueZhenlong,XiMeijuan,WeiWei,ZhouXiaofeng,TaoJian TraditionalChineseMedicineHospitalofChangshouCity,JiangsuProvince215500 FundprojectProjectsupportedbytheChangshouCityScienceandTechnologyBureauofJiangsu,projectnumber:CS201315 Abstract Objective:Toexploretherelationshipbetweencolordopplerultrasounddeterminationofcirrhosisandesophagus varicotomyruptureandbleedingcausedbyportalhypertension.Methods:62patientswithportalhypertensionwereselectedasthe casegroup,and30healthypeopleasthecontrolgroup,thenwemeasuredthedifferencesininternaldiameter,speedandflowrate ofportalveinandleftgastricveininpatientswithcirrhosisbetweenthebleedinggroupandthenonbleedinggroup,byusingcolor dopplerultrasound.Results:Comparedwiththenormalcontrolgroup,thebloodflowparametersofPVandLGVweresignificantly different(P＜0.01).Theblooddirectionofleftgastricveininthehemorrhagegroupwassignificantlyincreasedwhencompared withthenormalcontrolgroup.Conclusion:BloodflowparametersofPVandLGVmeasuredbycolordopplerultrasonographycan providevaluablereferencedataforclinicalpredictionofesophagealvaricesbleeding. Keywords ColorDopplerultrasound;Leftgastricvein;Portalvein;Ruptureofesophagealvarices 食管静脉曲张破裂出血(EVB)是肝硬 均经临床、影像或病理确诊为肝硬化， 胃镜，按顺序观察食管及胃底。 化门脉高压症的发展结果，起病非常