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Evaluation of Rectal Varices by Endoscopic Ultrasonography in Patients With Portal Hypertension

机译：内镜超声检查对门静脉高压症患者直肠静脉曲张的影响

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摘要

The usefulness of endoscopic ultrasonography (EUS) in the evaluation of rectal varices (RV)was determined in 50 patients with portal hypertension (PH) and 25 PH-free controls. F1andF2varices and angiectasia were specific for the PH group as evaluated by endoscopy, but therewas no difference between the PH and the control groups with respect to the frequency of bluevein. The detection rate of submucosal veins (SMV) with EUS was 88% for the PH group and68% for the control group. The mean SMV diameter was significantly greater for the PHgroup than for the control group, and no 2-mm or larger SMV was detected in the controlgroup. Serum albumin and cholinesterase levels were significantly higher for the RV(+)patients with SMV 2mm or more in diameter in the PH group than for the RV(–) patients.The spleen index was also significantly higher for the former group. The frequency of RV wassignificantly higher for advanced PH than for mild PH. RV(+) was detected in about 30% ofendoscopically normal patients in the PH group. The results of this study indicate that EUS isuseful in detecting RV and evaluating its pathological condition.
机译：在50例门静脉高压症（PH）和25例无PH的对照组中确定了内镜超声检查（EUS）在评估直肠静脉曲张（RV）中的作用。通过内窥镜检查评估，F1和F2静脉曲张和血管扩张对PH组具有特异性，但在PH和对照组之间，在Bluevein的频率方面没有差异。 PH组EUS黏膜下静脉（SMV）检出率为88％，对照组为68％。 PH组的平均SMV直径明显大于对照组，并且在对照组中未检测到2mm或更大的SMV。 PH组中直径≥2mm的SMV的RV（+）患者的血清白蛋白和胆碱酯酶水平显着高于RV（–）患者。脾脏指数也显着高于前一组。晚期PH的RV频率明显高于轻度PH。 PH组内镜正常患者中约30％检测到RV（+）。这项研究的结果表明，EUS可用于检测RV和评估其病理状况。

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