Dignostic value of splenoportoscintigraphy，gastroscopy and B-mode ultrasonography for liver cirrhotics with portal hypertension.
Abstract：To investigate and evaluate the methods for the dignosis ofcirrhotics with portal hypertension. Spleno-portal vein shape and portosystemic shunt index（PSSI）were determined through portal circulation imaging by using intrasplenic injection of 99m Tc-Phytate.Comparision was also made with gastroscopy and ultrasonography.Results showed that the liver cirrhostics with portal hypertension were separated into four type，namely nonshunt，shunt，with collateral vein and full-extrahepatic shunt type by splenoportoscintigraphy. The PSSI for controls was 0.192±0.068，chronic hepatitis was 0.246±0.057，cirrhosis was 0.541±0.082，cirrhosis Child-pugh A 0.384±0.052，B 0.523±0.07，C 0.680±0.081.If the threshold for cirrhosis was set at PSSI＞0.36，the sensitivity was 91.7％，superior to the above other methods.It suggests that splenoportoscintigraphy is capable showing splenoportal circulation shape and helpful in dignosing cirrhosis at its early stage and evaluating prognosis.
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Publication Date：2001-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 9-11 )