120例门脉高压性胃病内镜特点分析

Analysis of 120 cases with portal hypertensive gastropathy in endoscopic features

目的探讨门脉高压性胃病(PHG)的内镜特点及与肝功能损害和食管静脉曲张分级的关系。方法采用OlympusXO-230型电子胃镜观察胃黏膜病变和静脉曲张情况,对肝功能进行Child分级,并进行统计学处理。结果PHG内镜表现以蛇皮样病变、猩红热样疹及樱红斑最为常见,其严重程度与肝功能损害及食管静脉曲张分级呈正相关。结论PHG内镜特征明显,门脉高压是PHG形成的必备条件。

Objective To explore the relationship between endoscopic features in portal hypertensive gastropathy （PHG） and hepatic functional lesion as well as grade of esophageal varices. Methods We observed the cases with gastric mucosal lesion and degree of esophageal varices. Meanwhile, we evaluated the hepatic function with Child grade. Then, we analyzed statistically these da- ta. Results The endoscopic features in PHG were commonly characterized by snaker s skin lesion,scarlatiniform rash and oriental cherry erythema, which of severious degree was positively correlated with hepatic functional lesion and grade of esophageal varices. Conclusion PHG can have obvious endoscopic features. Portal hypertension can be the vital condition of the development of PHG.