肝硬化食管侧枝静脉诊治研究进展

Study Advances in Diagnosis and Treatment of Esophageal Collateral Varices in Cirrhosis

摘要: 目的：总结与肝硬化食管侧枝静脉曲张相关评估方式的研究进展，为临床诊治肝硬化门静脉高压患者提供诊治参考。方法：查阅国内外与食管侧枝静脉曲张相关的研究文献，分析总结诊断与评估食管侧枝静脉曲张严重程度，及其并发症的研究现状与进展。结果：血清学指标、超声内镜、CT等无创方法可用于评估门静脉高压合并食管侧枝静脉曲张的严重程度，获取内镜所不能得到的信息，协助临床决策。结论：多种无创方法在评估门静脉高压并发食管侧枝静脉曲张方面有重要价值，在一定程度上辅助内镜检查，有利于更好诊治和管理此类患者。

Abstract: Objective: To summarize the research progress on the evaluation methods related to esophageal collateral varices in cirrhosis, and provide reference for clinical diagnosis and treatment of patients with cirrhosis and portal hypertension. Method: To review the domestic and international literature related to esophageal collateral varices, and to analyze the current status and progress of ECVs and their complications. Result: Non-invasive methods such as serological indexes, endoscopic ultrasonography and CT can be used to evaluate severity of ECVs, to obtain more information than endoscopy and assist in clinical decision making. Conclusion: Multiple noninvasive methods are valuable in assessing portal hypertension complicated by ECVs, which can complement endoscopy and facilitate the diagnosis and management of such patients.