乙肝后肝硬化患者胃镜与B超及Child-Pugh分级的相关性研究

目的分析乙肝后肝硬化患者胃镜、B超及肝功能分级检测结果,为临床判断肝硬化严重程度、早期预防上消化道出血提供参考依据。方法收集68例乙肝后肝硬化患者,行胃镜检查了解食管静脉曲张情况,腹部B超测量门静脉主干内径,采用Child-Pugh分级标准进行肝功能分级,比较门静脉主干内径与食管静脉曲张程度,肝功能分级与食管静脉曲张程度的相关性。结果门静脉主干内径越宽,食管静脉曲张程度越重。肝功能分级越差,各静脉内径越宽,且食管静脉曲张程度越重,B级与A级,C级与A级比较,差异均有统计学意义。结论食管静脉曲张程度与门静脉主干内径、肝功能分级之间具有一定相关性。综合门静脉主干内径、肝功能分级并结合胃镜检查结果可较准确预测食管静脉曲张程度。

Research on the clinical correlations about the findings of gastroscope and B ultrasonography and Child-Pugh's Score in patients with Post-hepatitis B cirrhosis

Objective To analysis the outcome of Gastroscope and B ultrasonography and grade of liver function in patients of post - hepatitis B cirrhosis, and to evaluate the serious degree of cirrhosis in clinic and affording valuable suggestions in preventing upper gastrointestinal hemorrhage. Methods sixty - eight patients with post - hepatitis B cirrhosis, and detected the degree of the esophageal varices by gastroscopy, measured their main portal vein diameter with B uhrasonography, used Child - Pugh grading to grade their hepatic function. To evaluate the correlation between diameter of main portal vein and the degree of esophageal varicose ; between the degree of esophageal varicose and the grade of liver function the findings. Results The more large of diameter of main portal vein, diameter of splenic vein, the more severe of esophagus varix$ degree. The more worse the grade of liver function, the worse vein diameter the wide, the more severe of esophagus varix＇s degree, B grade and A grade, C grade and A grade comparison, the difference has covariance to learn meaning. Conclusion There are certain correlation between degree of the esophagus varix and diameter of main portal vein, liver function ratings. Comprehensive the degree of esophageal varicose and diameter of main portal vein, liver function classification and combined with gastroscopy results can be more accurate prediction of esophageal varices.