肝硬化患者脾肝体积比与食管胃底静脉曲张的关系

目的探讨脾肝体积比在预测静脉曲张程度中的价值。方法对51例确诊的肝硬化患者进行胃镜和增强CT检查,将食管胃底静脉曲张程度分级并计算患者的脾肝体积比;比较这两个指标的相关性和各级静脉曲张患者的脾肝体积比。结果食管胃底静脉曲张的分级与脾肝体积比相关性明显(t=0.693,P<0.001)。各级食管胃底静脉曲张之间的脾肝体积比差异均有统计学意义。结论肝硬化患者随着脾肝体积比值的升高,静脉曲张程度加重,脾肝体积比可以作为无创性检测手段判断静脉曲张程度,为进一步的工作打下了一定的基础。

Correlation between spleen- liver volume ratio and esophageal and gastric varices in liver cirrhosis patients

Objective To determine the value of spleen-liver volume ratio as a non-invasive predictive measure of the degree of esophageal and gastric varices.Methods Fifty-one cirrhosis patients underwent endoscopy for grading of esophageal varices(4 grades: 0-3) and enhanced computed tomography to calculate the spleen-liver volume ratio.The Child-Pugh score was calculated to determine the liver disease severity.Analysis of variance was used to investigate the relation between spleen-liver volume ratio and grades of varicose veins and disease severity.Results There was a significant correlation between the degree of esophageal varices and the spleen-liver volume ratio(t=0.693,P<0.001).However,there was no significant correlation between the Child-Pugh classification and spleen-liver volume ratio(t=0.236,P>0.05).Conclusion The non-invasive measure of spleen-liver volume ratio is indicative of esophageal and gastric varices severity,with the spleen-liver volume ratio increasing in parallel to increases in grades of esophageal varicose veins.