201例肝炎肝硬化门脉高压症胃粘膜内镜特征

Endoscopic Characteristics of Gastric in 201 Patients with Portalhypertension Caused by Posthepatitic Cirrhosis

目的门脉高压症是肝硬化的常见并发症,引起胃粘膜损伤逐渐被重视。方法对201例肝炎肝硬化患者进行胃镜检查,对其不同程度食管静脉曲张、胃粘膜损伤、溃疡发生率及胆汁反流的关系进行分析。结果201例中,PHGl00例(50%),其中重度静脉曲张组中的PHG发生率比轻度及中度静脉曲张组中PHG发生率显著增多(P<0.001)。重度静脉曲张组中溃疡检出率、胆汁反流现象均高于其他两组(P<0.001)。结论胃镜检查肝硬化患者,对判断预后、指导治疗有参考价值。

Objective Andoscopic characteristics of gastric mucosa in 201 cases with portalhypertension caused by hepatocirrhosis Abstract Portal hypertension is a common complication in patients with cirrhosis. Attention was gradually payed to gastric mucosal injury induced by portal hypertension. Methods To analyze the relationships among esophageal varices,gastric mucosal injury,ulcer and biliary regurgitation,201 cases with hepatocirrhosis were examined by endouscope. Results There were 100 patients with portal hypertensive gastropathy （ PHG）in all the 201 patients. The rate of PHG in severe esophageal varices group was much higher than that in mild or moderate esophageal varices group（ P 〈 0. 001 ）. The rate of ulcer or biliary regurgitation was significantly higher than that in the other two groups（ P 〈0. 001）. Conclusions To foresee prognosis and direct treatment,gastroscopy has some clinic value to patients with cirrhosis.