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目的 研究不同方法诊断肝硬化门脉高压的敏感性。方法 对 99例肝硬化门脉高压病人的门脾静脉宽度、食道胃底静脉曲张、核素所测门脉压力进行对比性研究。 49例健康体检人群为对照。统计各种方法诊断门脉高压的阳性率及相互关系。结果 绝大部分病人会出现门、脾静脉不同区域的不同程度扩张。食道静脉曲张的轻、中、重组 ,门、脾静脉扩张程度无差别。门、脾静脉宽度与门脉压力无关。核素法对门脉高压的检出率最高。结论 根据血管及脾脏情况可诊断门脉高压。不同方法对门脉高压的检出情况不同 ,核素法敏感性较高。门、脾静脉宽度与门脉压力及食道静脉曲张程度关系不密切。
Objective To study the sensitivity of different methods in diagnosing portal hypertension in cirrhotic patients. Methods 99 cases of cirrhotic patients with portal hypertension, portal vein splenic vein width, esophageal varices, radionuclide portal pressure measured by the comparative study. 49 cases of healthy people as a control group. Statistics of various methods of diagnosis of portal hypertension positive rate and correlation. The results of most patients will appear different degrees of expansion of the door, splenic vein in different regions. Esophageal varices light, moderate, recombinant, door, splenic vein expansion no difference. Door, splenic vein width and portal pressure has nothing to do. Nuclide detection of the highest rate of portal hypertension. Conclusion According to the blood vessels and spleen can diagnose portal hypertension. Different methods of detection of portal hypertension are different, nuclide method is more sensitive. Door, splenic vein width and portal pressure and esophageal varicose degree is not closely related.