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Correlation between FibroScan, APRI Detecting the degree of esophageal and gastric varices of liver cirrhosis

Correlation between FibroScan, APRI Detecting the degree of esophageal and gastric varices of liver cirrhosis

Zhonghua Gan Zang Bing Za Zhi 26(5): 342-346

目的: 探讨瞬时弹性成像技术(FibroScan)、天冬氨酸氨基转移酶和血小板比率指数(APRI)对肝硬化合并食管胃底静脉曲张程度的预测价值。 方法: 选取符合标准的236例病毒性肝炎肝硬化患者,所有患者根据电子胃镜检查结果,将患者按照食管胃底静脉曲张程度分为无、轻度、中度、重度4组。患者在行电子胃镜检查3 d内检测其肝脏硬度值(LSM)和APRI。多组间数据比较采用单因素方差分析,绘制LSM、APRI、LSM+APRI对肝硬化合并食管胃底静脉曲张患者的受试者工作特征(ROC)曲线,并比较其ROC曲线下面积。 结果: 轻度食管胃底静脉曲张患者的LSM、APRI、LSM+APRI的ROC曲线下面积分别是0.856、0.900、0.906;中度食管胃底静脉曲张患者的LSM、APRI、LSM+APRI的ROC曲线下面积分别是0.857、0.924、0.923;重度食管胃底静脉曲张患者的LSM、APRI、LSM+APRI的ROC曲线下面积分别是0.801、0.903、0.901。 结论: APRI及LSM+APRI对肝硬化患者合并食管胃底静脉曲张程度具有较好的预测价值。.

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Accession: 056945121

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PMID: 29996201

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