【摘要】 目的 探討肝硬化食管靜脈曲張程度與門脾靜脈內徑、肝功能Child-Pugh分級間的關系。 方法 對2007年1月-2010年1月間56例肝硬化患者行增強CT，測量門靜脈主干及脾門部脾靜脈直徑，采用Child-Pugh分級標準進行肝功能分級，并行胃鏡了解食管靜脈曲張的程度。 結果 食管靜脈曲張程度與門、脾靜脈內徑呈正相關，而Child-Pugh分級與門脾靜脈內徑、食管靜脈曲張程度無相關性。 結論 根據門、脾靜脈內徑可預測肝硬化上消化道出血的可能性；在Child-Pugh分級基礎上對患者上消化道出血的風險進行評估顯得尤為重要。【Abstract】 Objective To discuss the relationship among the esophageal varices, the diameter of portal vein and spleen vein, and Child-Pugh score in patients with liver cirrhosis. Methods The study included 56 patients who had liver cirrhosis between January 2007 and January 2010. We measured their portal vein and spleen vein diameter with CT; used Child-Pugh score to grade their hepatic function; and detected the degree of the esophageal varices by endoscopy. Results There was a positive correlation between the degree of esophageal varices and diameter of portal vein and spleen vein, while no correlation showed between portal vein and spleen vein diameter, degree of esophageal varices, and Child-Pugh score. Conclusion The upper gastrointestinal bleeding in patients with liver cirrhosis can be predicted by the diameter of portal vein and spleen vein, assessment of upper gastrointestinal bleeding based on Child-Pugh score should also be taken into account.
