病毒性肝炎患者的胃镜表现

Endoscopic Manifestations of Gastric Mucosal Lesion in Virus Hepatitis

目的:探讨病毒性肝炎患者的胃镜表现。方法:264例肝炎病人中肝硬变173例、慢性肝炎61倒、急性肝炎30例,分别观察其胃镜下胃粘膜改变的特征及其与临床的关系。结果:门脉高压性胃病、消化道溃疡及糜烂性胃炎、浅表性胃炎、Hp阳性等均为病毒性肝炎患者的常见胃镜表现。门脉高压性胃病多发生在胃底、胃体;溃疡多发生于胃窦及球部。门脉高压性胃病及胃粘膜糜烂的范围和程度与食道静脉曲张程度相关。结论:病毒性肝炎患者胃镜表现复杂多样,可以独立形式存在,亦可以2种以上形式并存。它对判断预后,指导治疗,均有一定参考价值。

Aim: To study the endoscopic manifestations in virus hepatitis. Method: 264 cases were divided into liver cirrosis (LC, n = 173). chronic hepatitis (CH, n=61) and acute hepatitis (AH, n = 30). We compared with the difference in these groups,try to finding the relationship between the clinic appearance and endoscopic manifestations of gastric mu-cosal lesion. Results: The common endoscopic manifestations of gastric mucosal lesion in virus hepatitis were portal hypertensive gastropathy (PHG) duodenal or gastric ulcer, erosive gastritis, superficial gastritis and helicobacter pylori (HP)positive ets. PHG mostly appeared in fundus and body of stomach. while ulcer in gastric antrum and duodenal bulb. The involvement and degrees of PHG and gastric mucosal erosion was related to the degrees of esophageal varices. Conclusion: The endoscopic manifestations of hepatitis can be various, usualy in one form, others in both or above. It can be of value in prognosis and in treatment. So the routine examination of endoscopy could be considered.