Lee Tae Hee
Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.
Korean J Gastroenterol. 2010 Sep;56(3):135-43. doi: 10.4166/kjg.2010.56.3.135.
Complications of portal hypertension are major concerns in liver cirrhosis and significant morbidity and mortality mainly because of variceal bleeding, ascites, bacterial infections, hepatic encephalopathy, and hepatorenal syndrome. Various modalities in the diagnosis of portal hypertension are reviewed. The measurement of hepatic venous pressure gradient (HVPG) is a simple, invasive, reproducible method and regarded as the gold standard for the diagnosis and staging of portal hypertension. Other tests such as transient elastography, per-endoscopic variceal pressure measurement, endoscopic ultrasonography, and Doppler ultrasonography may be complementary and promising.
门静脉高压的并发症是肝硬化的主要关注点,也是导致显著发病率和死亡率的主要原因,主要是由于静脉曲张出血、腹水、细菌感染、肝性脑病和肝肾综合征。本文综述了门静脉高压诊断的各种方法。肝静脉压力梯度(HVPG)测量是一种简单、有创、可重复的方法,被视为门静脉高压诊断和分期的金标准。其他检查如瞬时弹性成像、内镜下曲张静脉压力测量、内镜超声检查和多普勒超声检查可能具有互补性且前景良好。