89例门脉高压性胃、十二指肠病变的胃镜观察及分析

Gastroscopic Observation and Analysis of 89 Cases of Portal Hypertensive Gastroduodenal Mucosal Lesions

为了解门脉高压(PVH)病人的胃、十二指肠粘膜病变,本文对89例PVH食道,胃底静脉曲张的胃镜资料进行分析,结果表明PVH食道、胃底静脉曲张患者消化性溃疡占25.84％,慢性胃炎占52.80％及十二指肠球炎19.01％。而且,胃、十二指肠粘膜病变的发生率随静脉曲张程度的加重而增加。本文并对PVH性胃、十二指肠病变的发生机理及临床意义进行了讨论。

In an attempt to know portal hypertensive gastroduodenal mucosal lesions,the object of this study was to analyse gastroscopic data of 89 cases of portal hypertensive esophageal-gastric varices. The results indicated that among those with esophageal-gastric varices, peptic ulcer accounts for 25.85%, chronic gastritis 52.80% and duodenitis 19.01%. The incidence of gastroduodenal mucosal lesions increased in accordence with the severity of esophageal varices. The possible mechanism and their clinical importance of portal hypertensive gastro-duodenal mucosal lesions are being discussed in this article.