The Clinical Value of Two-Dimensional Ultrasound Shear Wave Elastography and Dispersion Imaging in the Diagnosis of High-Risk Esophageal and Gastric Fundal Varix in Compensatory Cirrhosis
Objective:To analyze the clinical value of two-dimensional ultrasonic shear wave elastography(SWE)and dispersion imaging in the diagnosis of high-risk esophageal and gastric fundal varix(HR-EGFV)in patients with compensated cirrhosis.Methods:A total of 100 patients with compensated cirrhosis admitted to our hospital from January 2022 to August 2023 were enrolled as subjects.All patients underwent two-dimensional ultrasonic SWE and dispersion imaging before gastroscopy.Based on the gastroscopy results,the diagnostic efficacy of the two imaging modalities for screening and predicting HR-EGFV was evaluated.Results:In the screening and prediction of HR-EGFV,SWE demonstrated higher diagnostic sensitivity,specificity,positive predictive value,and negative predictive value compared to the control group,with statistically significant differences between the groups(P<0.05).Conclusion:In the predictive analysis of HR-EGFV in patients with compensated cirrhosis,two-dimensional ultrasonic shear wave dispersion imaging exhibits superior predictive performance compared to elastography.It can predict the occurrence of esophageal and gastric varices to some extent.
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