摘要
食管胃底静脉曲张(EGV)破裂出血严重威胁患者的生命安全,早期诊断并及时采取相应的治疗对改善患者的预后具有重大意义。超声内镜(EUS)将内镜和超声技术进行有机结合,为消化道疾病的诊治开辟了新的途径。EUS可显示胃食管黏膜下解剖结构、门静脉及其属支、食管周围侧支静脉和穿通静脉,协助EGV诊断、复发及再出血风险的评估,从而指导EGV临床诊治策略的制定;同时,还可通过钳道送入多种内镜附件,进行EUS引导硬化、组织胶栓塞及弹簧圈置入等多种介入治疗,可作为常规胃镜治疗失败及具有高异位栓塞风险患者的补充治疗手段。
Esophageal and gastric variceal bleeding is life threatening.Early diagnosis and timely medicaltreatment are vital in improving the prognosis of the patients.EUS is an organic combination of endoscopy and ultrasonography,while it starts a new era in diagnosis and treatment of gastrointestinal diseases.EUS can visualize the submucosalstructures of GI tract,portal vein and its branches,periesophageal collateral veins and large perforating veins.It has important roles in detection of varices and prediction of variceal bleeding,so as to guide and inform the development of diagnosis and treatment strategies for esophageal and gastric varices.Furthermore,therapeutic interventions such as EUS-guided sclerotherapy,cyanoacrylate injection,coil embolization can be performed rely on endoscopic accessories and interventional tools.EUS-guided hemostasis interventions can be used as a supplementary choice when conventional treatments failed,or to patients with high risk of distal embolization.
作者
赵海英
宗晔
冀明
吴咏冬
张澍田
李鹏
ZHAO Hai-ying;ZONG Ye;JI Ming;WU Yong-dong;ZHANG Shu-tian;LI Peng(Department of Gastroenterology,Beijing Friendship Hospital,Capital Medical University,National Clinical Research Centerfor Digestive Disease,Beijing Digestive Disease Center,Beijing Key Laboratory for Precancerous Lesion of Digestive Disease,Beijing100050,China)
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2022年第10期800-804,814,共6页
Chinese Journal of Practical Internal Medicine
基金
北京市医院管理局消化内科学科协同发展中心专项经费(XXZ08)。
关键词
超声内镜
门静脉高压
食管胃底静脉曲张
endoscopic ultrasound
portal hypertension
esophageal and gastric varices
