Research on the Relationship among the Esophageal Varices,the Diameter of Portal Vein and Spleen Vein,and Child-Pugh's Score in Patients with Liver Cirrhosis

Objective To discuss the relationship among the esophageal varices,the diameter of portal vein and spleen vein,and Child-Pugh score in patients with liver cirrhosis.Methods The study included 56 patients who had liver cirrhosis between January 2007 and January 2010.We measured their portal vein and spleen vein diameter with CT;used Child-Pugh score to grade their hepatic function;and detected the degree of the esophageal varices by endoscopy.Results There was a positive correlation between the degree of esophageal varices and diameter of portal vein and spleen vein,while no correlation showed between portal vein and spleen vein diameter,degree of esophageal varices,and Child-Pugh score.Conclusion The upper gastrointestinal bleeding in patients with liver cirrhosis can be predicted by the diameter of portal vein and spleen vein,assessment of upper gastrointestinal bleeding based on Child-Pugh score should also be taken into account.