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目的初步探讨食管静脉曲张内镜气囊测压的临床价值。方法采用Ｔｒｅｉｅｒ公司生产的食管曲张静脉测压仪（ＥＶＭ），由２名操作者分别对２６名肝硬化食管静脉曲张患者进行食管曲张静脉测压，同时测定相应的肝功能指标。结果２６名患者中２３名测压成功，无副反应；测量值变异系数为７．１８％±２．６４％；两操作者之间测压值呈显著相关性（ｒ＝０．８３５Ｐ＜０．００１）；有红色征和（或）有曲张静脉出血史者测压值明显升高（Ｐ＜０．０１）；曲张静脉压力与曲张静脉直径、Ｃｈｉｌｄ－Ｐｕｇｈ分级之间无明显相关性。结论内镜气囊测压技术无创伤，安全，无副反应，简便易行，重复性较好，对预测曲张静脉出血风险及药物降压疗效的评估有一定的临床价值。
Objective To investigate the clinical value of esophageal varices endoscopy balloon pressure measurement. Methods The esophageal varicocele (EVM) manufactured by Treier Company was used to perform esophageal varicose vein pressure measurement on 26 cirrhotic patients with esophageal varices by two operators. The corresponding liver function indexes were also measured. Results Twenty-three of the 26 patients had successful manometry with no side effects. The coefficient of variation (CV) was 7.18% ± 2.64%. There was a significant correlation between the two manometers (r = 0.835P <0 (P <0.01). There was no significant correlation between variceal pressure and varicose vein diameter and Child-Pugh grading. Conclusions Endoscopic balloon pressure-measuring technique is noninvasive, safe and free from side effects. It is simple and easy to perform and has good repeatability. It is of certain clinical value in predicting the risk of variceal bleeding and drug curative effect.