肝硬化并门脉高压性胃病的临床研究

目的:探讨肝硬化并门脉高压性胃病(PHG)的临床特点及其与肝功分级、食管静脉曲张的关系．方法:对208例肝硬化患者进行常规胃镜检查,并对其并发PHG情况进行回顾性分析．结果:208例肝硬化患者中,食管静脉曲张178 例(85．6％),PHG发生率为38．0％(79例)．随肝功能Child-Pugh分级级别增加,PHG发病率及严重程度呈上升趋势(P<0．01);而随着食管静脉曲张严重程度上升,PHG发病率亦有上升 (P<0．05);原无PHG的19例患者硬化剂治疗后有4例(21．1％)出现PHG．结论:肝硬化患者PHG发病率随肝功能分级及食管静脉曲张严重程度的增加而上升．

Clinical analysis of portal hypertensive gastropathy in patients with hepatocirrhosis

AIM: To discuss the clinical characteristics of portal hypertensive gastropathy (PHG) in patients with hepatocirrhosis and its relations with liver function and varicosity of esophagus. METHODS: Gastric endoscopy was performed in 208 inpatients with hepatocirrhosis and the incidence rate of PHG was retrospectively analyzed. RESULTS: Of all the 208 patients, 178(85.6%) had varicosity of esophagus and the incidence rate of PHG was 38.0%(79/208). The incidence rate of PHG was increased with the increased grade of live function (x2 = 22.151, P < 0.01) and esophageal varicosity (x2 = 16.656, P < 0.05). After endoscopic injection sclerotherapy in 19 patients, PHG appeared in 4 (21.1%). CONCLUSION: The incidence rate of PHG is increasing with the increased grade of live function and the severity of esophageal varicosity.