超声内镜引导门静脉压力梯度测量的应用前景

杜恒; 陈拥军; 姚勇

doi:10.3969/j.issn.1001-5256.2023.04.029

超声内镜引导门静脉压力梯度测量的应用前景

DOI: 10.3969/j.issn.1001-5256.2023.04.029

遂宁市中心医院消化内科，四川遂宁 629000

基金项目:

四川省医学重点专科项目 (Health Commission of Sichuan Province [2019] No. 305);

四川省医学科研课题计划 (S18014);

遂宁市中心医院科研课题 (2021y23)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：杜恒负责查阅文献，撰写论文；陈拥军负责课题设计，拟定写作思路，指导撰写论文；姚勇负责修改论文并最后定稿。

详细信息

通信作者:
姚勇，287718288@qq.com (ORCID: 0000-0001-6729-5032)

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出版历程
- 收稿日期: 2022-08-24
- 录用日期: 2022-09-28
- 出版日期: 2023-04-20

Application prospect of endoscopic ultrasound-guided portal pressure gradient measurement

Department of Gastroenterology, Suining Central Hospital, Suining, Sichuan 629000, China

Research funding:

Key Medical Specialty Project of Sichuan Province (Health Commission of Sichuan Province [2019] No. 305);

Medical Scientific Research Project of Sichuan Province (S18014);

Scientific Research Project of Suining Central Hospital (2021y23)

More Information

Corresponding author: YAO Yong, 287718288@qq.com (ORCID: 0000-0001-6729-5032)

摘要

摘要: 门静脉压力测量对门静脉高压的诊断及病情评估有着十分重要的作用，目前尚无统一的方法用于门静脉压力的评估。随着超声内镜在消化系统疾病中的广泛运用，超声内镜引导门静脉压力梯度(EUS-PPG)测量被2021年BavenoⅦ会议纳入了研究议程，从而得到了广大学者的普遍关注。本文从门静脉压力测量技术的概述、EUS-PPG测量技术的发展和国内外常用的两种EUS-PPG测量方法，系统地阐述了EUS-PPG测量技术的运用前景。全球多项研究分析表明，EUS-PPG测量技术具有直接、微创、简单、准确、无辐射等优点，临床的可操作性较强，是门静脉压力测量方法的重要补充，并可能逐渐成为门静脉测压的主要方法之一。
- 高血压, 门静脉 /
- 腔内超声检查 /
- 测压法
Abstract: Portal pressure measurement plays an important role in the diagnosis and evaluation of portal hypertension, and at present, there is still no unified method for the assessment of portal vein pressure. With the wide application of endoscopic ultrasound in digestive system diseases, endoscopic ultrasound-guided portal pressure gradient (EUS-PPG) measurement was included in the research agenda of the 2021 Baveno-VII conference, thus attracting widespread attention of scholars. This article reviews portal pressure measurement techniques, the development of EUS-PPG measurement technique, and two commonly used methods for EUS-PPG measurement in China and globally and elaborates on the application prospect of EUS-PPG measurement technique. A number of studies around the world have shown that EUS-PPG measurement technique is a direct, minimally invasive, simple, accurate, and radiation-free technique with strong clinical operability, and it is an important supplement to portal pressure measurement methods and may gradually become one of the main methods for portal pressure measurement.
- Hypertension, Portal /
- Endosonography /
- Manometry

HTML全文

图 1 EchoTip^® Insight^TM PPG测量系统(示意图)^[19]

Figure 1. EchoTip^® Insight^TM portosystemic pressure gradient measurement system (Schematic diagram)^[19]

下载: 全尺寸图片幻灯片

图 2 EUS引导下肝静脉和门静脉穿刺(示意图)^[19]

注：a，肝静脉；b，门静脉。

Figure 2. Endoscopic ultrasound guided puncture of hepatic vein and portal vein (Schematic diagram)^[19]

下载: 全尺寸图片幻灯片

表 1 EUS-PPG测量的主要设备与器材

Table 1. Main equipment and apparatus for EUS-PPG measurement

设备与器材	型号	公司
线阵EUS	GF-UCT140P-AL5^[13]	日本Olympus公司
	GF-UCT260-AL5^[16]
测压系统	PPG测量系统(EchoTip^® Insight^TM)^[13]	美国COOK公司
	CVP模块(IntelliVue MP40)^[16]	荷兰PHILIPS公司
穿刺针	25G FNA针(25G FNA-needle)^[13]	美国COOK公司
	22G FNA针(ECHO-3-22)^[16]

下载: 导出CSV

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