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华西医学  2013 

CT门静脉血管成像与内镜诊断胃食管静脉曲张的比较

DOI: 10.7507/1002-0179.20130076, PP. 240-243

Keywords: 门静脉高压,胃食管静脉曲张,门静脉造影术,内镜,体层摄影术,X线计算机

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Abstract:

目的 比较CT门静脉血管成像(CTP)与内镜诊断肝硬化胃食管静脉曲张的效果,探讨CTP对肝硬化门静脉高压侧支循环血管的显示及其在随访中的价值。方法 对2010年1月-2011年12月收治的43例肝硬化患者行多排螺旋CT增强扫描门静脉血管成像,观察胃食管静脉曲张程度,及有无其他侧支开放,并在4周内行内镜检查,了解胃食管静脉曲张的程度。结果 43例患者中有33例经胃镜确诊食管静脉曲张,其中CTP诊断与胃镜相符29例;胃镜诊断胃底静脉曲张14例,其中有12例CTP诊断与之相符;CTP诊断胃食管静脉曲张与内镜有较好的相关性和一致性,但在判断食管静脉曲张部位上与胃镜一致性较差。结论 对肝硬化患者可采用CTP进行随访,以评估胃食管静脉曲张出血风险,可减少不必要的内镜随访。

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