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目的 :研究和探讨超声内镜(EUS)对食管胃静脉曲张(EGV)的诊断价值。方法 :选择临床确诊存在食管胃静脉曲张的患者30例,其中出血组16例,未出血组14例,分别进行常规电子胃镜和EUS检查,EUS检查主要了解EGV及食管周围静脉穿通支(PEV)、奇静脉情况等。结果:常规胃镜检出30例患者均有食管静脉曲张(EV),EUS检出15例;常规胃镜检出胃底静脉曲张(GV)者11例,EUS检出19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穿通支阳性患者15例和7例,差异有统计学意义(P<0.05)。出血组患者中,食管周围静脉穿通支最大直径为(6.1±2.3)mm,奇静脉最大直径为(11.8±1.9)mm;未出血组患者中,两者分别为(3.7±1.7)mm和(8.1±2.2)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;食管周围曲张静脉穿通支、奇静脉对食管胃静脉曲张出血风险可能具有预测价值。
Objective: To study and explore the value of endoscopic ultrasonography (EUS) in the diagnosis of esophagogastric varices (EGV). Methods: Thirty patients with esophagogastric varices diagnosed clinically were selected. Among them, 16 cases were hemorrhage and 14 cases were non-hemorrhage. EUS and EGG were performed respectively by EUS and EGUS. , Odd vein situation. Results: All the 30 patients had esophageal varices (EV) in routine gastroscopy, 15 were detected by EUS, 11 were diagnosed by conventional gastroscopy, and 19 were detected by EUS. The detection rate of the two methods was significantly different (P <0.05). There were 15 cases and 7 cases of positive peripheral esophageal perforation detected by EUS in both hemorrhage and non-hemorrhage groups, the difference was statistically significant (P <0.05). In the bleeding group, the maximum diameter of the esophageal perforation was (6.1 ± 2.3) mm and the maximum diameter of the azygous vein was (11.8 ± 1.9) mm. Among the non-bleeding patients, the maximum diameter was (3.7 ± 1.7) mm and 8.1 ± 2.2) mm, the difference was statistically significant (P <0.05). CONCLUSION: EUS has a high diagnostic value for gastric varices. The risk of esophageal and gastric variceal bleeding may be of value in predicting the risk of esophageal and gastric variceal bleeding.