3.
食管静脉曲张相关指标(指数)推荐界值及其诊断评价
Diagnostic evaluation of the critical values for esophageal varices (EV) indexes
| Disease | Index | Cutoff value | Cases (%) | Se (%) | NPV | NLR | Sp (%) | PPV | PLR |
| EV: Esophageal varices; HREV: High risk esophageal varices; Se: Sensitivity; Sp: Specificity; PPV: Positive predictive value; NPV: Negative predictive value; PLR: Positive likelihood ratio; NLR: Negative likelihood ratio; PSR: Platelet/splenic thickness ratio; SPT: Splenic thickness; US: Ultrasound score; PLT: Platelet; SVD: Splenic vein diameter; USWA: US-SPT-WBC-ALB (prediction model for EV); EVS: Esophageal varices score; SPA: SPT-ALB (prediction model for HREV). | |||||||||
| EV | |||||||||
| PSR | 3.646 | 23 (11.4) | 95.2 | 65.2 | 0.11 | 44.1 | 89.4 | 1.7 | |
| 0.75 | 37 (18.3) | 21.6 | 20.6 | 0.78 | 100 | 100 | ∝ | ||
| SPT (mm) | 37 | 24 (11.9) | 94.5 | 66.7 | 0.12 | 45.5 | 89.9 | 1.6 | |
| 54 | 70 (34.7) | 60.4 | 25.8 | 0.58 | 100 | 100 | ∝ | ||
| US | 10 | 95 (46.9) | 42.2 | 25.5 | 0.61 | 94.1 | 93.5 | 7.2 | |
| 50 | 51 (25.2) | 29.9 | 20 | 0.73 | 97.1 | 98.0 | 10.0 | ||
| PLT (109/L) | 10 | 72 (36.1) | 42.2 | 25 | 0.61 | 94.1 | 97.2 | 7.2 | |
| SVD (mm) | -0.3 | 16 (7.9) | 98.2 | 81.3 | 0.05 | 39.4 | 89.0 | 1.6 | |
| USWA | 2.99 | 90 (45.5) | 54.3 | 29.6 | 0.51 | 97.0 | 98.9 | 17.9 | |
| 3.34 | 81 (40.1) | 48.2 | 26.6 | 0.52 | 100 | 100 | ∝ | ||
| EVS | 3 | 56 (28.4) | 34.1 | 23.4 | 0.66 | 100 | 100 | ∝ | |
| 2 | 81 (41.1) | 47.6 | 25.9 | 0.58 | 90.9 | 96.3 | 5.2 | ||
| HREV | |||||||||
| SPT (mm) | 37 | 24(11.9) | 96.6 | 87.5 | 0.13 | 25.3 | 65.2 | 1.3 | |
| 78 | 3 (1.5) | 2.5 | 41.7 | 0.97 | 100 | 100 | ∝ | ||
| SPA | -0.68 | 27 (13.4) | 97.5 | 92.6 | 0.08 | 30.1 | 66.9 | 1.4 | |
| 2.52 | 11 (5.4) | 9.3 | 44.0 | 0.91 | 100 | 100 | ∝ | ||
| PSR | 3.40 | 26 (12.9) | 96.6 | 84.6 | 0.13 | 26.8 | 64.8 | 1.3 | |