肝硬化食管胃底静脉曲张出血非侵入预测方法的研究进展

摘要/Abstract

摘要： 肝硬化是由多种原因引起的一种慢性、进行性、弥漫性炎症及纤维化肝病,食管胃底静脉曲张出血(EGVB)是其最严重的并发症之一,与高死亡率密切相关。本文结合国内外文献从实验室检查、影像学检查、实验室检查联合影像学检查和综合预测4个模型就EGVB非侵入预测方法进行综述,认为联合模型是未来评估EGVB的研究热点,同时应根据肝硬化患者的不同病因细化其出血的预测评分,期望为临床医生尽早识别和评估EGVB,以及降低肝硬化失代偿期患者EGVB的出血率和死亡率提供一定的参考和借鉴。

关键词: 肝硬化, 食管胃底静脉曲张, 出血, 非侵入预测

郭雯, 陈雅鑫, 温华, 刘凯歌, 张明鑫. 肝硬化食管胃底静脉曲张出血非侵入预测方法的研究进展[J]. 肝脏, 2025, 30(4): 557-563.

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