门脉高压患者十二指肠粘膜的内镜观察特征

目的寻找门静脉高压患者十二指肠粘膜糜烂的内镜特征。方法对肝硬化门静脉高压患者119例(A组);肝硬化(无门静脉高压)患者124例(B组);慢性胃炎患者124例(C组)分别进行内镜检查,比较3组患者胃镜下表现。结果A组有33例十二指肠糜烂(33/119,27.7%),明显高于B组(9/124,7.2%)和C组(8/124,6.4%)(P<0.01)。门静脉高压患者十二指肠糜烂有从球部向降部延伸的趋势,且降部的病变大多沿环形皱襞分布。结论门脉高压患者十二指肠糜烂部位有别于普通的十二指肠炎,十二指肠糜烂是门脉高压患者十二指肠病变之一。

Objective To study the endoscopic features of duodenal, erosions in the patients with portal, hypertension. Methods To Compare the endoscopic findings among the three groups： group A. 119 patients with hepatic cirrhosis and portal hypertension; group B. 124 patients with hepatic cirrhosis but without portal hypertension; group C. 124 patients with chronic gastritis. Results Duodenal erosion was found in 33 patients with portal hypertension （33/119,27.7% ）,two patients with hepatic cirrhosis but without portal hypertension （9/124, 7.2% ）and with chronic gastritis （8/124,6.4%）. The incidence of duodental erosions among the patients with porcal hypertension was significantly higher than that in the other two groups （ p 〈 0.01 ）. The most frequently duodental erosion among the patients with portal hypertension tended to extended from the superior portion to the descending portion, and tended to show a circular alignment along the Kerckring, s folds. Conclusion The location of duodenal erosion in patients with portal, hypertension differs from that in patients with ordinary duodenitis, Duodenal erosion in patients with portal, hypertension is considered to be one of the lesions of portal hypertension duodenopathy .