摘要
目的研究高级动态血流成像技术(ADF)评估经颈静脉肝内门体分流术(TIPS)术后效果的价值。方法纳入2017年7月至2019年7月于我院收治的64例TIPS术后患者为研究对象,均行ADF检查,并以超声造影(CEUS)结果为金标准,对比ADF与CEUS评估TIPS术后患者支架通畅性分级结果,分析ADF与CEUS评估TIPS术后患者支架通畅性的一致性。结果ADF检出0例0级,CEUS检出0例0级,诊断符合率为100.00%;ADF检出4例1级,CEUS检出3例1级,诊断符合率为98.44%;ADF检出4例2级,CEUS检出4例2级,诊断符合率为100.00%;ADF检出56例3级,CEUS检出57例3级,诊断符合率为95.31%。ADF评估TIPS术后患者支架通畅性的灵敏度为85.71%,特异度为96.49%,准确率为95.31%,阳性预测值为75.00%,阴性预测值为98.21%,Kappa值为0.77。结论ADF可及时显示TIPS术后支架通畅情况,在评估TIPS效果中具有重要作用,值得临床推广。
Objective To study on the value of advanced dynamic flow imaging(ADF)in evaluating the stent patency of transjugular intrahepatic portosystemic shunt(TIPS).Methods Sixty-four patients with TIPS therapy who were admitted to our hospital from July 2017 to July 2019 were included in the study.All patients underwent ADF examination.The results of contrast-enhanced ultrasonography(CEUS)were used as gold standard to compare ADF with CEUS in the evaluation of TIPS stent patency.The consistency between ADF and CEUS results was analyzed.Results ADF detected 0 case with 0 grade,CEUS detected 0 case with 0 grade,the diagnostic coincidence rate was 100.00%;ADF detected 4 cases with grade 1,CEUS detected 3 cases with grade 1,the diagnostic coincidence rate was 98.44%;ADF detected 4 cases with grade 2,CEUS detected 4 cases with grade 2,the diagnostic coincidence rate was 100.00%;ADF detected 56 cases with grade 3,CEUS detected 57 cases with grade 3,the diagnostic coincidence rate was 95.31%.The sensitivity,specificity,accuracy,positive predictive value,negative predictive value and Kappa value of ADF in the evaluation of TIPS stent patency were 85.71%,96.49%,95.31%,75.00%,98.21%and 0.77,respectively.Conclusion The stent patency of TIPS can be displayed in time by ADF.It is therefore important in evaluating TIPS function,and worthy of clinical promotion.
作者
李永胜
梁晓峰
马燕
LI Yong-sheng;LIANG Xiao-feng;MA Yan(Imaging Department,Qingdao Chengyang District People's Hospital,Shangdong 266109,China)
出处
《肝脏》
2020年第8期803-805,共3页
Chinese Hepatology
基金
山东省2014年科学计划发展项目(2014GSF118183)。
关键词
高级动态血流成像技术
经颈静脉肝内门体分流术
门静脉高压
超声造影
Advanced dynamic flow
Transjugular intrahepatic portosystemic shunt
Portal hypertension
Contrast enhanced ultrasonography
