超声内镜联合CT门静脉成像技术对肝硬化GOV程度及疗效的评价

doi:10.7517/issn.1674-0475.210702

摘要/Abstract

摘要： 本研究探讨了超声内镜联合CT门静脉成像技术对肝硬化食管胃静脉曲张（GOV）程度及治疗效果的评价价值。选取72例肝硬化GOV患者为研究对象，根据食管静脉曲张套扎术（EVL）治疗效果分为良好组与不良组。结果发现，不良组总横断面表面积、胃左静脉、门静脉、脾静脉、肠系膜上静脉直径及门静脉长度均大于良好组，曲张静脉壁厚度小于良好组（P<0.05）；总横断面表面积、胃左静脉、门静脉、脾静脉、肠系膜上静脉直径及门静脉长度与肝功能Child-Pugh分级、静脉曲张程度呈正相关，曲张静脉壁厚度与肝功能Child-Pugh分级、静脉曲张程度呈负相关（P<0.05）；总横断面表面积、曲张静脉壁厚度/胃左静脉、门静脉、脾静脉、肠系膜上静脉直径及门静脉长度均为肝硬化GOV患者治疗效果的影响因素（P<0.05）；超声内镜、CT门静脉成像参数联合预测肝硬化GOV患者治疗效果的AUC为0.857。可见，超声内镜、CT门静脉成像参数与肝硬化GOV程度、肝功能分级及EVL治疗效果密切相关，可为临床预测EVL治疗效果提供一定参考。

关键词: 肝硬化, 食管胃静脉曲张, 超声内镜, CT门静脉成像技术, 食管静脉曲张套扎术

Abstract: In this study, the evaluation value of ultrasound endoscopy combined with CT portal vein imaging on gastroesophageal varices (GOV) degree and therapeutic effect of liver cirrhosis was investigated. Seventy-two patients with cirrhosis of GOV were selected as the research objects. They were divided into good group and bad group according to the treatment effect of esophageal varicose ligation (EVL). The results showed that the total cross-sectional surface area, left gastric vein, portal vein, splenic vein, superior mesenteric vein and the length of the portal vein in the bad group were larger than those in the good group, and the varicose vein wall thickness was smaller than that in the good group (P<0.05). Total cross-sectional surface area, left stomach, the diameter of vein, portal vein, splenic vein, superior mesenteric vein and portal vein length are positively correlated with Child-Pugh classification of liver function and the degree of varicose veins. Varicose vein wall thickness is negatively correlated with Child-Pugh classification of liver function and the degree of varicose veins (P<0.05). Total cross-sectional surface area, varicose vein wall thickness/left gastric vein, portal vein, splenic vein, superior mesenteric vein diameter and portal vein length are all influencing factors for the therapeutic effect of GOV patients with liver cirrhosis (P<0.05). Endoscopy, CT the combination of portal vein imaging parameters predicts the therapeutic effect of GOV patients with liver cirrhosis, and the AUC is 0.857. It can be seen that ultrasound endoscopy and CT portal vein imaging parameters are closely related to the GOV degree of liver cirrhosis, liver function classification and EVL treatment effect, which can provide a certain reference for clinical prediction of EVL treatment effect.

Key words: liver cirrhosis, esophageal gastric varices, ultrasound endoscopy, CT portal vein imaging technique, esophageal varices ligation

李欢, 韩晓磊, 赵星. 超声内镜联合CT门静脉成像技术对肝硬化GOV程度及疗效的评价[J]. 影像科学与光化学, 2022, 40(1): 83-88.

LI Huan, HAN Xiaolei, ZHAO Xing. The Evaluation Value of Ultrasound Endoscopy Combined with CT Portal Vein Imaging Technology on GOV Degree and Therapeutic Effect of Liver Cirrhosis[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(1): 83-88.

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