肝硬化门脉高压性胃病的相关性研究

目的探讨肝硬化门脉高压性胃病（PHG）的临床特点及其与肝功能分级、食管静脉曲张以及食管静脉曲张套扎术干预治疗的关系。方法对268例肝硬化患者进行肝功能及常规胃镜检查，并对其并发PHG及干预治疗后PHG情况进行分析。结果268例肝硬化患者有不同程度的食管静脉曲张246例（91．8％），PHG发生率为102例（38．1％），原为轻型PHG22例患者在接收套扎术治疗后6例（27．2％）转化为重型PHG。随肝功能分级积分（级别）的增加以及食管静脉曲张严重程度的增加，PHG发病率增加（P〈0．05）。结论肝硬化患者PHG发病率随肝功能分级、食管静脉曲张严重程度的增加以及多次干预食管静脉曲张治疗手段而上升。

Study of portal hypertensive gastropathy in the patients with hepatocirrhosis

Objective To study the relationship between the occurrence of portal hypertensive gastropathy(PHG) and grade of liver function and esphageal variees and the effects of endoscopic varieeal ligation (EVL). Methods Gantroscopy was performed in 268 cases with hepatocirrhosis with the different levels of liver function was retrospectived and PHG after the EVL was analyzed. Results Of all 268 patients,246 cases had varicosity of esophagus fundus(91.8%), and 102 eases(38.1%)had PHG which were classfied into A、B and C grades according to child-pugh. The incidence rate of PHG was increasing with the ineresed grade of liver function and was on an increasing trend with the increased severity of varicosity of esophagus fundus (P＜ 0.05). Conclusion the incidence of rate of PHG was increasing with the increased grade of liver funcion and with the increased severity of varicosity of esophagus fundus and with the increased times of EVL.