Study of Multi-slice CT Portography Imaging in the Diagnosis and Evaluation of Esophageal and Gastric Varices in Cirrhosis Patients_West China Medical Journal

Authors：

 LIUGui-an , CHENSi-yu , ZHAOShi-zhong

Department of Radiology, People's Hospital of Meishan City, Meishan, Sichuan 620010, P. R. China;

Corresponding?author：

Keywords：

Multi-slice CT portography; Digestive endoscopy; Cirrhosis; Esophageal and gastric varices; Diagnosis

DOI：

10.7507/1002-0179.20140458

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Objective To study the application value of multi-slice CT portography (MSCTP) in the diagnosis and evaluation of esophageal and gastric varices (EGV) caused by cirrhosis. Methods Patients with cirrhosis diagnosed between September 2009 and December 2012 were screened in this study. And the consistency of MSCTP and digestive endoscopy in the diagnosis, classification and grading of EGV in cirrhosis were evaluated. Results A total of 78 patients were included in this study, and there were 55 patients with EGV diagnosed by endoscopy, including 35, 16 and 4 patients with GOV1, GOV2 and IGV1 respectively by Satin type standards; and the number of patients with mild, moderate and severe EGV by general grading standards was 2, 15, and 37, respectively. In this cohort, the findings of MSCTP examination also showed that 58 patients had EGV, including 36, 17, 4 and 1 patients with GOV1, GOV2, IGV1 and IGV2 by Satin type standards; and the number of patients with grade I,Ⅱ andⅢ EGV by Kim grading standards was 5, 16 and 37, respectively. Statistical analysis showed that there was a high consistency between endoscopy and MSCTP in the diagnosis (Kappa=0.712, P=0.000), typing (Kappa=0.732, P=0.000) or grading (Kappa=0.863, P=0.000) of EGV. Conclusion MSCTP has a high application value in the diagnosis and severity evaluation of EGV in patients with cirrhosis.

Citation： LIUGui-an, CHENSi-yu, ZHAOShi-zhong. Study of Multi-slice CT Portography Imaging in the Diagnosis and Evaluation of Esophageal and Gastric Varices in Cirrhosis Patients. West China Medical Journal, 2014, 29(8): 1494-1496. doi: 10.7507/1002-0179.20140458 Copy

1.	Wittenburg H, Tennert U, Berg T. Complications of liver cirrhosis[J]. Internist (Berl), 2011, 52(9):1061-1072.
2.	劉潯陽. 肝硬化門靜脈高壓癥患者出血的預防與治療[J]. 中華肝臟外科手術學電子雜志, 2013, 2(2):131-132.
3.	中華醫學會消化內鏡學分會食管胃靜脈曲張學組. 消化道靜脈曲張及出血的內鏡診斷和治療規范試行方案(2009年)[J]. 中國繼續醫學教育, 2010, 27(6):21-26.
4.	吳柳, 范竹萍, 顧海燕, 等. 多層螺旋CT檢查在肝硬化患者食管靜脈曲張診斷和分級中的價值[J]. 胃腸病學, 2009, 14(1):12-15.
5.	朱康順, 孟曉春, 張健生, 等. 門靜脈高壓癥胃靜脈曲張的多層螺旋CT診斷及血流動力學研究[J]. 中華醫學雜志, 2007, 87(46):3251-3255.
6.	呂卓珍, 張春清. 多層螺旋CT門靜脈成像評價門脈高壓側支循環研究進展[J]. 醫學影像學雜志, 2010, 20(3):447-449.
7.	孫鵬, 賀永斌, 李佳睿, 等. 多層螺旋CT門靜脈成像在臨床中的應用[J]. 中國普外基礎與臨床雜志, 2010, 17(12):1318-1321.
8.	項時昊, 謝平坤, 李訪賢, 等. 胃鏡、多層螺旋CT及食管鋇餐診斷食管靜脈曲張比較[J]. 中國醫師進修雜志, 2012, 35(34):68-69.
9.	尚瑞蓮. 超聲內鏡對門脈高壓食管胃靜脈曲張的評價及其引導下治療現狀[J]. 中華消化病與影像雜志·電子版, 2012, 2(1):58-61.
10.	喻健玲, 劉亞軍. CT門靜脈造影對食管胃靜脈曲張出血的應用價值[J]. 中華醫學雜志, 2009, 89(32):2283-2285.
11.	高勇, 唐笑先, 師建強, 等. 多層螺旋CT門靜脈成像對肝硬化門脈高壓側支循環的診斷價值[J]. 實用醫技雜志, 2012, 19(10):1016-1018.
12.	何欣, 黃仲奎, 龍莉玲, 等. 肝硬化并食管靜脈曲張多層螺旋CT門靜脈成像的臨床應用[J]. 實用放射學雜志, 2012, 28(11):1707-1711.
13.	宋兵, 李彩英, 劉增品, 等. 胃左靜脈MSCTA預測肝硬化門靜脈高壓食管胃底靜脈曲張破裂岀血的價值[J]. 臨床放射學雜志, 2011, 30(7):979-983.

1. Wittenburg H, Tennert U, Berg T. Complications of liver cirrhosis[J]. Internist (Berl), 2011, 52(9):1061-1072.
2. 劉潯陽. 肝硬化門靜脈高壓癥患者出血的預防與治療[J]. 中華肝臟外科手術學電子雜志, 2013, 2(2):131-132.
3. 中華醫學會消化內鏡學分會食管胃靜脈曲張學組. 消化道靜脈曲張及出血的內鏡診斷和治療規范試行方案(2009年)[J]. 中國繼續醫學教育, 2010, 27(6):21-26.
4. 吳柳, 范竹萍, 顧海燕, 等. 多層螺旋CT檢查在肝硬化患者食管靜脈曲張診斷和分級中的價值[J]. 胃腸病學, 2009, 14(1):12-15.
5. 朱康順, 孟曉春, 張健生, 等. 門靜脈高壓癥胃靜脈曲張的多層螺旋CT診斷及血流動力學研究[J]. 中華醫學雜志, 2007, 87(46):3251-3255.
6. 呂卓珍, 張春清. 多層螺旋CT門靜脈成像評價門脈高壓側支循環研究進展[J]. 醫學影像學雜志, 2010, 20(3):447-449.
7. 孫鵬, 賀永斌, 李佳睿, 等. 多層螺旋CT門靜脈成像在臨床中的應用[J]. 中國普外基礎與臨床雜志, 2010, 17(12):1318-1321.
8. 項時昊, 謝平坤, 李訪賢, 等. 胃鏡、多層螺旋CT及食管鋇餐診斷食管靜脈曲張比較[J]. 中國醫師進修雜志, 2012, 35(34):68-69.
9. 尚瑞蓮. 超聲內鏡對門脈高壓食管胃靜脈曲張的評價及其引導下治療現狀[J]. 中華消化病與影像雜志·電子版, 2012, 2(1):58-61.
10. 喻健玲, 劉亞軍. CT門靜脈造影對食管胃靜脈曲張出血的應用價值[J]. 中華醫學雜志, 2009, 89(32):2283-2285.
11. 高勇, 唐笑先, 師建強, 等. 多層螺旋CT門靜脈成像對肝硬化門脈高壓側支循環的診斷價值[J]. 實用醫技雜志, 2012, 19(10):1016-1018.
12. 何欣, 黃仲奎, 龍莉玲, 等. 肝硬化并食管靜脈曲張多層螺旋CT門靜脈成像的臨床應用[J]. 實用放射學雜志, 2012, 28(11):1707-1711.
13. 宋兵, 李彩英, 劉增品, 等. 胃左靜脈MSCTA預測肝硬化門靜脈高壓食管胃底靜脈曲張破裂岀血的價值[J]. 臨床放射學雜志, 2011, 30(7):979-983.

West China Medical Journal

Study of Multi-slice CT Portography Imaging in the Diagnosis and Evaluation of Esophageal and Gastric Varices in Cirrhosis Patients

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