【摘要】 目的探讨应用多排螺旋CT门静脉造影测定患者曲张食道静脉直径预测其破裂出血的价值。方法 35例肝硬化并食道静脉曲张患者,根据患者发生出血与否分为出血组和未出血组,所有患者均进行了肝静脉压力梯度(HVPG)测定及64排螺旋CT门静脉系统成像检查。结果门静脉高压患者HVPG和曲张食道静脉直径在未出血组显著低于出血组,HVPG与曲张食道静脉直径间明确正相关。结论多排螺旋CT门静脉成像测得的曲张食道静脉直径具有预测EV出血的价值,方法相对简便、准确、无创。更多还原

【Abstract】 【Objective】 To explore the value of Esophageal Variceal diameter on the risk of esophageal variceal bleeding.【Methods】 35 cases o f liver cirrhosis with port a hypertension were divided into bleeding group(n =20) and no bleeding group(n =15).HVPG according Seldinger method and diameter of esophageal vein according to MSCT were carried out.【Results】 Both values in no bleeding groups were significantly lower than those in bleeding group.【Conclusion】 The esophageal vein Width Measurement was convenient and safe and predictive e of EVB.更多还原