| Objective:Esophageal and gastric varices is portosystemic collaterals formed due tothe increased pressure, portal blood flow resistance caused by different reasons. It is themost common cause of portal hypertension caused by hepatic cirrhosis. The study ofesophageal and gastric varices in patients with gastroscopy and CT three-dimensionalimaging contrast, and to explore its relationship with TCM syndromes, through the CTthree-dimensional imaging estimation of esophageal varices in patients with varicose veinvaricose, can reduce the gastroscopy for patients suffering, and the use of auxiliaryexamination reflects the western medicine in patients with spleen deficiency dampness,liver kidney yin deficiency and blood stasis degree.Methods:Select diagnosed by gastroscope esophageal and gastric varices in60patients after admission, syndrome differentiation, the patient consent CTthree-dimensional imaging. After comparing results of gastroscope and CT development,and explore the relationship between gastroscopic results and the Chinese medicinedialectical typing.Results:In60patients, except1cases were removed from the study, the remaining59cases there are51cases diagnosed by gastroscope only to the existence of esophagealvarices, the CT3D imaging in the diagnosis of gastroscope match in45cases;5cases ofgastroscopy only gastric varices, which CT3D imaging in the diagnosis of gastroscopematch in3cases; in the esophagus. Varicose vein position,5cases of gastric no esophagealvarices, esophageal varices in the lower section, middle and lower members were18cases,20cases and16cases, and CT three-dimensional imaging was8cases of esophageal varices, esophageal varices in the lower section, middle and lower members were27cases,18cases and6cases of. Visible CT3D imaging in the diagnosis of esophageal and gastricvarices with endoscopic and consistent correlation, but in the judgment of esophagealvarices with endoscopic poor uniformity of parts. By syndrome differentiation oftraditional Chinese medicine, patients with esophageal visible different TCM Syndromesof gastroesophageal varices differences among. The mild esophageal varices in liver qistagnation syndrome, damp heat syndrome, compared with other syndromes, the differencewas statistically significant (P<0.05); moderate esophageal varices with blood stasissyndrome more common, compared with other syndromes, the difference was statisticallysignificant (P<0.05); severe food Guan Jingmai varicose and associated with gastricvarices with the blood stasis syndrome, liver kidney yin deficiency, spleen dampnesssyndrome, compared with other syndromes, with significant difference (P<0.01).Conclusions: On liver cirrhosis esophageal varices in patients with CTthree-dimensional imaging is feasible, to estimate the esophageal varices in patients withvaricose vein varicose, can reduce the pain of patients with gastroscopy. Different types ofTCM syndrome in patients with cirrhosis esophageal varices different. To a certain extent,gastroesophageal varices can reflect the patient spleen wet Sheng, liver kidney yindeficiency and blood stasis degree. |