摘要
目的探讨FibroScan和STE联合超声内镜对肝硬化食管胃底静脉曲张程度的预测价值。方法纳入2016年1月至2018年12月间本院肝病中心确诊肝硬化并行胃镜检查的患者98例。结果内镜检查证实,98例肝硬化患者中,62例患者合并食管胃底静脉曲张,其中轻度曲张16例,中度曲张38例,重度曲张8例。FibroScan预测患者食管胃底静脉曲张程度的准确率、敏感性、特异性分别为83.67%、85.48%、80.56%,与STE的86.73%、83.87%、91.67%比较差异均无统计学意义(P>0.05)。结论FibroScan和STE评估肝硬度对于预测肝硬化食管胃底静脉曲张程度具有较好的临床价值,STE的准确性略高于FibroScan。
Objective To evaluate the predictive value of FibroScan and STE combined with endoscopic ultrasonography in the degree of esophageal and gastric varices in cirrhotic patients.Methods A total of 98 patients with liver cirrhosis diagnosed by liver disease center of our hospital from January 2016 to December 2018 were enrolled in this study.Results Endoscopic examination confirmed that 62 of 98 patients with liver cirrhosis were complicated with esophageal and gastric varices,including 16 cases of mild varicose veins,38 cases of moderate varicose veins and 8 cases of severe varicose veins.FibroScan predicted the degree of esophageal and gastric fundus varices with accuracy,sensitivity,specificity of 83.67%,85.48%,and 80.56%,respectively,compared with 86.73%and 83.87%of STE.There was no significant difference between the two groups(P>0.05).Conclusion The evaluation of liver hardness by FibroScan and STE is of good clinical value in predicting the degree of esophageal and gastric varices in cirrhotic patients.The accuracy of STE is slightly higher than that of FibroScan.
作者
陈小燕
CHEN Xiaoyan(Ultrasound Room,Department of functional examination,Xiamen Hospital of traditional Chinese Medicine,Beijing University of traditional Chinese Medicine,Fujian Xiamen 361009 China)
出处
《中国医疗设备》
2019年第S02期153-154,共2页
China Medical Devices
