Objective To determine the value of spleen - liver volume ratio as a non - invasive predictive measure of the degree of esophageal and gastric varices. Methods Fifty - one cirrhosis patients underwent endoacopy for grading of esophageal varices (4 grades: 0 - 3) and enhanced computed tomography to calculate the spleen - liver volume ratio. The Child - Pugh score was calculated to determine the liver disease severity. Analysis of variance was used to investigate the relation between spleen - liver volume ratio and grades of varicose veins and disease severity. Results There was a significant correlation between the degree of esophageal varices and the spleen - liver volume ratio (t =0. 693, P < 0.001). However, there was no significant correlation between the Child -Pugh classification and spleen - liver volume ratio (t = 0. 236, P > 0.05). Conclusion The non - invasive measure of spleen - liver volume ratio is indicative of esophageal and gastric varices severity, with the spleen - liver volume ratio increasing in parallel to increases in grades of esophageal varicose veins.%目的 探讨脾肝体积比在预测静脉曲张程度中的价值.方法 对51例确诊的肝硬化患者进行胃镜和增强CT检查,将食管胃底静脉曲张程度分级并计算患者的脾肝体积比；比较这两个指标的相关性和各级静脉曲张患者的脾肝体积比.结果 食管胃底静脉曲张的分级与脾肝体积比相关性明显(t=0.693,P＜0.001).各级食管胃底静脉曲张之间的脾肝体积比差异均有统计学意义.结论 肝硬化患者随着脾肝体积比值的升高,静脉曲张程度加重,脾肝体积比可以作为无创性检测手段判断静脉曲张程度,为进一步的工作打下了一定的基础.
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