【作者】 奚锦要； 梁健；

【Author】 Xi Jinyao;Liang Jian;Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine;Medical College of Guangxi University;

【机构】 广西中医药大学附属瑞康医院； 广西大学医学院；

【摘要】 目的:探讨超声内镜(EUS)在食管胃底静脉曲张(EGV)临床诊断中的应用价值。方法:将临床确诊的存在食管胃底静脉曲张的患者40例纳入研究,分出血组和未出血组,出血组24例,未出血组16例,分别进行常规电子胃镜和EUS检查,通过EUS进行扫查主要是了解EGV及食管周围静脉交通支(PEV)、奇静脉等情况。结果:常规电子胃镜检查出40例患者均有食管静脉曲张(EV),而EUS扫查出22例;常规电子胃镜检查出胃底静脉曲张(GV)者14例,EUS扫查出32例。两种方法检出率比较差异有统计学意义(P<0.05)。在出血组和未出血组中EUS各检测出食管周围静脉交通支阳性患者22 (91.67%)例和9例(56.25%),差异有统计学意义(P <0.05)。出血组患者中,食管周围静脉交通支最大直径为(6.2±2.4) mm,奇静脉最大直径为(10.6±1.8)mm;在未出血组患者中,两者分别为(3.5±1.6)mm和(8.2±2.0) mm,差异有统计学意义(P<0.05)结论:EUS对胃底静脉曲张有较高的诊断价值;了解食管周围曲张静脉交通支、奇静脉情况对预测食管胃底静脉曲张出血风险具有一定的临床应用价值。更多还原

【Abstract】 Objective:To explore the value of endoscopic ultrasonography(EUS) in the clinical diagnosis of esophageal and gastric varices(EGV).Methods:40 patients with esophagogastric varices diagnosed clinically were enrolled in the study.They were divided into bleeding group and non-bleeding group.24 patients in bleeding group and 16 patients in non-bleeding group were examined by conventional electronic gastroscopy and EUS respectively.The main purpose of EUS scanning was to understand the situation of EGV,PEV and azygos vein.Results:40 patients were diagnosed as esophageal varices(EV) by routine electronic gastroscopy,22 by EUS scan,14 by routine electronic gastroscopy and 32 by EUS scan.There was significant difference in the detection rate between the two methods(P <0.05).In the bleeding group and non-bleeding group,22(91.67%) and 9(56.25%) patients with positive peripheral esophageal vein communicating branches were detected by EUS,with significant difference(P <0.05).In the hemorrhagic group,the maximal diameter of the communicating branch of the peripheral esophageal vein was(6.2 s 2.4) mm,and the maximal diameter of the azygos vein was(10.6 s 1.8) mm.In the non-hemorrhagic group,the two were(3.5 s 1.6) mm and(8.2 s 2.0) mm,respectively,with significant difference(P <0.05).CONCLUSION:EUS has high diagnostic value for gastric varices.Understanding the circumesophageal varices communicating branches and azygos veins has certain clinical value in predicting the risk of bleeding from esophageal varices.更多还原