Clinical value of assessment on the esophageal-gastric varices in patients with esophageal varices by color Doppler sonography
Yan Li · China Medical Herald · 2014
Objective To discuss color Doppler sonography assessing risks of esophageal-gastric variceal(EGV) in patients. Methods 60 patients with portal hypertension in Nanjing BenQ Hospital from January 2011 to December 2012 were selected as portal hypertension group and divided into mild group(18 cases), moderate group(13 cases), severe group(29 cases), and 20 normal cases were chosen as normal group. Spleen length(SL), spleen thickness(ST), portal vein diameter(PV), splenic vein diameter(SV) were measured by color Doppler sonography, and spleen index(SI), portal vein congestion scores(CI), value of PV/SV were analyzed. Results CI of mild group, moderate group and severe group were(0.077 ±0.021),(0.093 ±0.008),(0.134 ±0.024); SI of mild group, moderate group and severe group were(69.21 ± 13.74),(77.81±14.32),(91.37±16.52)cm2; PV/SV of mild group, moderate group and severe group were(1.33±0.14),(1.29± 0.07),(1.17±0.31), compared with normal group, the differences were statistically significant(P 0.05). SI was determined EGV, the sensitivity was 67.3% and specificity was 95.4%; CI was determined EGV, the sensitivity was 95.1% and specificity was 77.5%; value of PV/SV was determined EGV, the sensitivity was 58.9% and specificity was71.7%. Conclusion The color Doppler sonography is valuable in the judgement of the hemodynamic changes in portal hypertension, by measured SI, CI, and value of PV/SV.