用内镜超声波引导的门口压力梯度测量与肝静脉压力梯度的相关性:一项前性研究
Belén Martinez-Moreno1,2, Juan Martínez Martínez3, Iván Herrera2
1Endoscopy Unit, Hospital General Universitario Dr. Balmis, ISABIAL, Alicante, Spain.
Endoscopy
|July 18, 2024
概括
内镜超声导向门口压力梯度 (EUS-PPG) 与肝静脉门口梯度 (HVPG) 的测量密切相关. 在肝硬化患者中,EUS-PPG提供了一种安全有效的替代方法来评估门高血压.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 医疗成像医学成像
背景情况:
- 肝静脉门梯度 (HVPG) 是门压梯度 (PPG) 评估的标准.
- 慢性门性高血压需要精确的PPG测量来管理.
研究的目的:
- 评估内镜超声波 (EUS) 引导PPG和HVPG之间的相关性.
- 确定EUS-PPG是否是一种可靠的替代HVPG.
主要方法:
- 33名患有慢性门性高血压的患者接受了横性HVPG和EUS-PPG.
- 类内相关系数 (ICC) 和布兰德-阿尔特曼分析评估的协议.
- 一个22-G针被用于EUS引导的PPG测量.
主要成果:
- 在EUS-PPG和HVPG的技术成功率均为93.9%.
- 0.82的ICC表明EUS-PPG和HVPG之间存在很强的相关性.
- 两种方法之间没有发现不良事件的显著差异.
结论:
- 通过EUS引导的PPG显示出与HVPG几乎完美的相关性.
- EUS-PPG是一种安全,可靠和潜在的有价值的替代方案,用于在肝硬化患者中直接测量PPG.
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