【摘要】 目的探讨利用脾脏大小指数(sp len ic index,SI)来预测食管静脉曲张的程度及食管静脉破裂出血的可能性。方法肝硬化患者36例,均行内窥镜及CT检查。通过CT片测量脾脏大小计算SI,内窥镜观察食管静脉曲张的程度。结果(1)SI与食管静脉曲张程度之间呈显著正相关r=0.776P=0.001;(2)SI与肝硬化代偿及失代偿期之间有显著性差异(P=0.004);(3)SI与肝硬化有无出血之间亦有差异(P=0.029);(4)SI与肝硬化有无食管静脉曲张之间有差异(P=0.031);(5)SI与性别,年龄及肝硬化有无腹水之间无相关关系。当SI>940.42 cm3时,肝硬化患者有食管静脉曲张的可能性大。结论SI对预测高危食管静脉曲张有一定价值。SI值较大时提示有食管静脉曲张破裂出血的危险。更多还原

【Abstract】 Objective To study predicting the hemorrhagic probability and degree of esophageal varices of cirrhosis using the splenicindex(SI). Methods 36 cases of cirrhosis were examed by CT and endoscopy.The SI was measured in all patients.The degree of esophagealvarices was observed by endoseopy. Results The significant positive correlation or positive correlation was found between the SI and thedegree of esophageal varices,(r=0.776,P=0.001);between SI and the compensation and no compensation of cirrhosis(P=0.004);between SI and the hemorrhage or no hemorrhage of cirrhosis(P=0.029);between SI and varices and no varices of cirrhosis(P=0.031);but there were no correlation between SI and sex,age,ascites.when SI>940.42 cm~3,the probability of esophageal varices increased. Conclusion SI is helpful in predicting the serious esophageal varices,if SI were very high,the risk of hemorrhage of esophageal varices increased.更多还原