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目的 明确食道静脉曲张与门静脉血流动力学及肝纤维化指标的关系。方法 83例肝硬化病例按静脉曲张程度分组并探讨其与门静脉血流动力学及肝纤维化指标的关系。结果 食道静脉中、重度曲张组门静脉流速、重度曲张组门静脉内径与无食道静脉曲张组比较有显著性差异 ,食道静脉轻、中、重度曲张组肝纤维化指标与无食道静脉曲张组比较均有显著性差异。食道静脉曲张轻、中、重三组间门静脉血流动力学、肝纤维化指标均无显著性差异。结论 门静脉血流动力学与肝纤维化指标可提示食道静脉曲张 ,但不能反映曲张程度
Objective To clarify the relationship between esophageal varices and portal vein hemodynamics and liver fibrosis indexes. Methods A total of 83 patients with cirrhosis were grouped according to the degree of varicose veins and their relationship with portal vein hemodynamics and hepatic fibrosis indexes. Results In the esophageal vein, the portal vein velocity in severe varicose vein group and the diameter of portal vein in severe varicose vein group were significantly different from those in non-esophageal varices group. Compared with those without esophageal varices group, the indexes of hepatic fibrosis in esophageal varices group Significant difference. Esophageal varices in the light, moderate and severe groups of portal vein hemodynamics, liver fibrosis index no significant difference. Conclusion portal vein hemodynamics and liver fibrosis indicators may suggest esophageal varices, but can not reflect the degree of varicosity