| CEUS评价肝硬化门静脉高压患者TIPS术后分流道支架功能 |
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| 引用本文： | 汪靖园,薛挥,刘梦莹,台明辉,魏炜. CEUS评价肝硬化门静脉高压患者TIPS术后分流道支架功能[J]. 中国介入影像与治疗学, 2020, 17(1): 22-26 |
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| 作者姓名： | 汪靖园 薛挥 刘梦莹 台明辉 魏炜 |
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| 作者单位： | 西安交通大学第一附属医院检验科, 陕西 西安 710061,西安交通大学第一附属医院消化内科, 陕西 西安 710061,西安交通大学第一附属医院消化内科, 陕西 西安 710061,西安交通大学第一附属医院超声影像科, 陕西 西安 710061,西安交通大学第一附属医院超声影像科, 陕西 西安 710061 |
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| 摘 要： | 目的探讨CEUS评价肝硬化门静脉高压患者TIPS术后分流道支架功能的应用价值。方法选取成功接受TIPS手术的肝硬化门静脉高压患者107例,分别采用CDFI与CEUS检测分流道支架功能,以DSA结果为金标准,比较二者诊断效能。结果 CEUS诊断TIPS术后支架功能的敏感度、特异度、阳性预测值及阴性预测值分别为90.00%(9/10)、100%(16/16)、100%(9/9)及94.12%(16/17),CDFI分别为64.71%(11/17)、80.00%(68/85)、39.29%(11/28)及91.89%(68/74)。CDFI与CEUS诊断TIPS术后支架功能的AUC分别为0.542和0.958(P0.01)。结论 CEUS诊断TIPS术后分流道支架功能的敏感度和特异度均较高,可为临床提供更为客观准确的信息。
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| 关 键 词： | 肝硬化 高血压,门静脉 门体分流术,经颈静脉肝内 超声检查 |
| 收稿时间： | 2019-06-05 |
| 修稿时间： | 2019-10-14 |
CEUS in evaluating on the function of stent after TIPS in patients with portal hypertension in cirrhosis |
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| WANG Jingyuan,XUE Hui,LIU Mengying,TAI Minghui and WEI Wei. CEUS in evaluating on the function of stent after TIPS in patients with portal hypertension in cirrhosis[J]. Chinese Journal of Interventional Imaging and Therapy, 2020, 17(1): 22-26 |
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| Authors: | WANG Jingyuan XUE Hui LIU Mengying TAI Minghui WEI Wei |
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| Affiliation: | Department of Clinical Laboratory, the First Affiliated Hospital of Xi''an Jiaotong University, Xi''an 710061, China,Department of Gastroenterology, the First Affiliated Hospital of Xi''an Jiaotong University, Xi''an 710061, China,Department of Gastroenterology, the First Affiliated Hospital of Xi''an Jiaotong University, Xi''an 710061, China,Department of Ultrasound, the First Affiliated Hospital of Xi''an Jiaotong University, Xi''an 710061, China and Department of Ultrasound, the First Affiliated Hospital of Xi''an Jiaotong University, Xi''an 710061, China |
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| Abstract: | Objective To investigate the value of CEUS in evaluating on the function of stent after TIPS in cirrhosis patients with portal hypertension. Methods Totally 107 cirrhosis patients with portal hypertension who underwent TIPS were selected, and the function of stent were observed with CDFI and CEUS. Taken DSA results as golden standards, the diagnostic efficiency of CDFI and CEUS were evaluated and compared. Results The sensitivity, specificity, positive predictive value and negative predictive value of CEUS in evaluation on function of stent after TIPS was 90.00% (9/10), 100% (16/16), 100% (9/9) and 94.12% (16/17), while of CDFI was 64.71% (11/17), 80.00% (68/85), 39.29% (11/28) and 91.89% (68/74), respectively. Taken DSA results as gold standards, AUC of CDFI and CEUS was 0.542 and 0.958 (P<0.01). Conclusion CEUS has high sensitivity and specificity for judgment of stent function after TIPS, which can provide objective and accurate information for clinical practice. |
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| Keywords: | liver cirrhosis hypertension, portal portasystemic shunt, transjugular intrahepatic ultrasonography |
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