肝源性溃疡63例临床分析

目的探讨肝源性溃疡的临床特点及诊治方法。方法回顾性分析63例肝源性溃疡患者临床资料。结果肝源性溃疡以上腹痛最多见但缺乏规律性;胃溃疡多于十二指肠溃疡;肝源性溃疡的发生与肝功能损害及食管静脉曲张程度呈正相关（P〈0.01）。结论肝源性溃疡症状不典型,发生率高,其发生与肝功能分级及门静脉高压密切相关,难治愈,及时正确诊治肝源性溃疡,可降低病死率。

Clinical analysis of 63 cases of hepatogenic ulcer

Objective To explore the clinical characteristics and treatment method of hepatogenic ulcer（HU）.Methods A retrospective analysis was performed for the clinical data of 63 patients with hepatogenic ulcer.Results The most common symptom of HU was epigastric pain,but no obvious regularity was observed.Ulcer occurred in stomach more than in duodenum.There was a positive correlation between HU’s occurrence,liver function damaged and the degree of esophageal varices（P〈0.01）.Conclusion The symptoms of HU was not typical,high incidence and its occurrence is closely related to liver function classification and portal hypertension,difficult to cure.Timely and correct treatment for HU can reduce the fatality rate.