[1]高淑娟,张 蓉,郭雪艳,等.门脉CT血管成像联合内镜治疗肝硬化食管胃静脉曲张应用价值研究[J].陕西医学杂志,2021,50(7):807-810.[doi:DOI:10.3969/j.issn.1000-7377.2021.07.009]
　GAO Shujuan,ZHANG Rong,GUO Xueyan,et al.Value of portal vein CTA combined with endoscopy in treatment of gastroesophageal varices in liver cirrhosis[J].,2021,50(7):807-810.[doi:DOI:10.3969/j.issn.1000-7377.2021.07.009]
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门脉CT血管成像联合内镜治疗肝硬化食管胃静脉曲张应用价值研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年7期
页码:
807-810
栏目:
临床研究
出版日期:
2021-07-05

文章信息/Info

Title:
Value of portal vein CTA combined with endoscopy in treatment of gastroesophageal varices in liver cirrhosis
作者:
高淑娟; 张 蓉; 郭雪艳; 闫春英; 金 燕; 吴随宁
(陕西省人民医院,陕西 西安 710068)
Author(s):
GAO Shujuan; ZHANG Rong; GUO Xueyan; YAN Chunying; JIN Yan; WU Suining
(Shaanxi Provincial People's Hospital,Xi'an 710068,China)
关键词:
门脉CT血管成像;  内镜;  肝硬化;  食管胃静脉曲张;  疗效;  诊断价值
Keywords:
Portal vein CTA;  Endoscopy;  Liver cirrhosis;  Gastroesophageal varices;  Curative effect;  Diagnostic value
分类号:
R 657.31
DOI:
DOI:10.3969/j.issn.1000-7377.2021.07.009
文献标志码:
A
摘要:
目的:研究门脉CT血管成像(CTA)联合内镜在肝硬化食管胃静脉曲张(GOV)治疗中的应用价值。方法:纳入肝硬化GOV患者180例,随机分为对照组和联合组,各90例。对照组使用内镜进行诊断和治疗,联合组使用CTA联合内镜进行诊断和治疗。对门脉CTA和内镜对肝硬化GOV分型的诊断一致性进行分析。对两组的GOV改善情况、临床结果和安全性进行比较。结果:门脉CTA和内镜在对肝硬化GOV分型诊断中,具有较好的诊断一致性。联合组治疗后的GOV改善率明显高于对照组(P<0.05)。联合组的治疗次数、GOV消失时间均明显低于对照组(P<0.05)。治疗后,联合组的并发症发生率明显低于对照组(P<0.05)。结论:门脉CTA和内镜在对肝硬化GOV分型的诊断中具有良好的一致性。门脉CTA联合内镜在肝硬化GOV治疗中,可有助于提高对肝硬化GOV的改善效果,减少治疗次数和GOV消失时间,且安全性好。
Abstract:
Objective:To study the application value of portal vein CT angiography(CTA)combined with endoscopy in the treatment of gastroesophageal varices(GOV)in liver cirrhosis.Methods:A total of 180 GOV patients with liver cirrhosis were enrolled and randomly divided into control group and combination group,with 90 cases in each group.The control group used endoscopy for diagnosis and treatment,and the combination group used CTA combined with endoscopy for diagnosis and treatment.The diagnostic consistency of the GOV classification of liver cirrhosis by portal vein CTA and endoscopy was analyzed.The GOV improvement,clinical results and safety of the two groups were compared.Results:Portal vein CTA and endoscopy had good consistency in the diagnosis of GOV classification of liver cirrhosis.The GOV improvement rate of the combined group after treatment was significantly higher than that of the control group(P<0.05).The number of treatments and the disappearance time of GOV in the combination group were significantly lower than those in the control group(all P<0.05).After treatment,the complication rate of the combined group was significantly lower than that of the control group(P<0.05).Conclusion:Portal vein CTA and endoscopy have good consistency in the diagnosis of liver cirrhosis GOV type.Portal vein CTA combined with endoscopy in the treatment of GOV for liver cirrhosis can increase the improvement rate of GOV for liver cirrhosis,reduce the number of treatments and the disappearance time of GOV,and has good safety.

参考文献/References:

[1] 范 丽,张 婷.拉米夫定、阿德福韦酯、恩替卡韦治疗失代偿期乙型肝炎肝硬化临床研究[J].陕西医学杂志,2019,48(7):939-941.
[2] 曹传坤,孔德润,肖 婷.内镜下精准食管胃静脉曲张断流术的前瞻性研究(附180例报告)[J].中国内镜杂志,2018,24(5):103-108.
[3] 何 苹.增强CT检查在食管胃底静脉曲张中的诊断价值[J].中国医疗器械信息,2020,26(24):105-106.
[4] 高克军,范智斌.胃镜与门静脉CT血管成像对肝硬化食管胃底静脉曲张诊断与治疗价值的临床研究[J].中国药物与临床,2019,19(17):2930-2932.
[5] 徐小元,丁惠国,贾继东,等.肝硬化门静脉高压食管胃静脉曲张出血的防治指南[J].实用肝脏病杂志,2016,19(5):641-656.
[6] 贺 欢,高 峰.门静脉高压食管胃静脉曲张诊断研究进展[J].实用肝脏病杂志,2017,20(6):790-793.
[7] 李素萍,薛迪强,丁光荣.CT门脉成像联合内镜超声指导肝硬化食管胃底静脉曲张精准治疗的随机对照研究[J].中华消化内镜杂志,2018,35(9):644-649.
[8] 田莉婷,刘雪萍,李丹妮,等.加味苓桂术甘汤对脾肾阳虚型肝硬化失代偿期患者生存率的影响[J].陕西中医,2019,40(10):1373-1376.
[9] 安 阳,祁兴顺,郭晓钟.卡维地洛与非选择性β受体阻滞剂治疗成人肝硬化食管胃底静脉曲张效果比较[J].临床肝胆病杂志,2019,35(4):74-77.
[10] 张 斌,吴志勇.门体分流术在治疗肝硬化食管胃底静脉曲张出血中的地位[J].肝胆胰外科杂志,2019,31(8):456-458.
[11] 王金玲,叶 英.胃镜下注射硬化剂联合套扎术对肝硬化食管胃底静脉曲张患者出血量的影响[J].肝脏,2019,24(9):329-332.
[12] 姚红娟,宋 瑛,乔京贵,等.胃镜下聚桂醇注射联合套扎术治疗食管胃底静脉曲张的临床观察[J].中华消化内镜杂志,2020,37(1):42-44.
[13] 徐 芸,向 曼,程 芳,等.多层螺旋CT及血管容积评估在胃底曲张静脉诊治中的应用[J].中华肝脏病杂志,2019,27(2):128-132.
[14] 苏 淼,杨艳双,田志颖,等.超声内镜与多层螺旋CT血管造影对食管胃底静脉曲张的诊断价值研究[J].中国中西医结合消化杂志,2019,23(9):104-107.
[15] 钟孝勤.内镜下不同方法治疗肝硬化致食管胃底静脉曲张的效果及短期复发率比较[J].临床医药文献电子杂志,2019,23(9):231-233.
[16] 安学健.内镜下治疗食管胃底静脉曲张破裂出血患者的研究进展[J].医疗装备,2020,33(9):201-202.
[17] 徐日安,李伟健,叶中慧,等.内镜下精准食管胃底静脉曲张断流术的临床疗效观察[J].现代消化及介入诊疗,2020,25(6):780-782.
[18] 谢雪萍.食管胃底静脉曲张择期内镜治疗患者预防性抗感染与术后发热的回顾性研究[D].福州:福建医科大学,2019.
[19] 郭 赟,包东明,张朝纲.CT血管造影在门静脉高压伴食道胃底静脉出血判断中的价值[J].实用医院临床杂志,2020,17(6):216-219.
[20] 刘 伟,刘盛楠.门静脉造影+多层螺旋CT用于肝硬化食管胃底静脉曲张破裂出血患者围术期的意义[J].肝脏,2020,25(11):53-55.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81200289)
更新日期/Last Update: 2021-07-05