门脉CT血管造影成像和胃镜在门脉高压诊断中的价值
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陈丽娜, 瞿 晴, 孙 波, 王 蕾, 慎睿哲,
门脉高压;食管胃静脉曲张;胃镜;门脉CTA,陈丽娜,瞿晴,孙波,王蕾,慎睿哲,程时丹,吴云林,靳勇,通讯作者:,Valuesofendosco
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陈丽娜, 瞿晴, 孙波, 王蕾, 慎睿哲, 程时丹, 吴云林, 上海交通大学医学院附属瑞金医院消化科 上海市 200025
靳勇, 上海交通大学医学院附属瑞金医院放射科 上海市 200025
通讯作者: 陈丽娜, 200025, 上海市瑞金二路197号, 上海交通大学医学院附属瑞金医院消化科. anerkaisa@126.com
电话: 021-64379794-665246
收稿日期: 2006-08-28 接受日期: 2006-09-20
Values of endoscopy and computed tomographic angiography for portal vein in diagnosis of portal hypertension
Li-Na Chen, Qing Qu, Bo Sun, Lei Wang, Rui-Zhe Shen, Shi-Dan Cheng, Yong Jin, Yun-Lin Wu
Li-Na Chen, Bo Sun, Qing Qu, Lei Wang, Rui-Zhe Shen, Shi-Dan Cheng, Yun-Lin Wu,Department of Gastroenterology, Ruijin Hospital Affiliated to Medical College of Shanghai Jiao Tong University, Shanghai 200025, China
Yong Jin,Department of Radiology, Ruijin Hospital Affiliated to Medical College of Shanghai Jiao Tong University, Shanghai 200025, China
Correspondence to:Li-Na Chen, Department of Gastroenterology, Ruijin Hospital Affiliated to Medical College of Shanghai Jiao Tong University, 197 Ruijiner Road, Shanghai 200025, China. anerkaisa@126.com
Received:2006-08-28 Accepted:2006-09-20
Abstract
AIM: To evaluate the clinical efficacy of endoscopy and computed tomographic angiography for portal vein (PV-CTA) in the diagnosis of esophageal-gastric varices caused by portal hypertension.
METHODS: A total of 60 patients with suspected portal hypertension were enrolled in this study. All the patients were examined by endoscopy and PV-CTA, and the data were comparatively analyzed.
RESULTS: Esophageal varices diagnosed by PV-CTA covered a percentage of 70.0% (n = 42), while those diagnosed by endoscopy accounted for 75.0% (n = 45); the coincidence rate was 70.8%. However, for gastric varices, the diagnostic rate of PV-CTA was 86.7% (n= 52 cases), while that of endosopy was 50.0% (n = 30); the coincidence rate was 26.7%. The etiology of all 60 cases was defined: 42 cases were with posthepatitis cirrhosis, 7 cases with schistosomal cirrhosis, 3 cases with alcoholic cirrhosis, 7 cases with pancreatic portal hypertension, and 1 case with portal foamy denaturation ......
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