97例肝硬化患者胃镜结果分析

目的：通过97例肝硬化患者的胃镜检查，对上消化道黏膜病变程度与Child-Pugh分级的关系进行探讨。方法：将97例肝硬化患者根据Child．Pugh分级，分为A级、B级两组，观察其食管静脉曲张轻、中、重程度、门脉高压性胃病、溃疡、食管炎及十二指肠球炎发生率，并做统计学处理。结果：97例肝硬化患者食管静脉曲张检出率90．7％，门脉高压性胃病检出率54．6％，胃溃疡检出率17．5％，十二指肠溃疡检出率9．3％，十二指肠球炎检出率27．8％，反流性食管炎检出率10．3％。食管静脉曲张严重程度（x^2=10．95）和反流性食管炎发生率（X^2=6．12）与Child．Pugh级别呈正相关（P〈0．01），而门脉高压性胃病、胃溃疡、十二指肠溃疡、十二指肠球炎发病率与之无明显关系（P均〉0．05）。结论：肝硬化患者食管静脉曲张严重程度和反流性食管炎发生率随Child·Pugh分级而上升，门脉高压性胃病、胃溃疡、十二指肠溃疡、十二指肠球炎发病率则与Child-Pugh分级无明显关系。

Analysis of gastroscope in 97 patients with hepatocirrhosis

Objective:To discuss the relationship between upper gastrointestinal mucosa coat lesion and hepatic function Child-Pugh grade through gastroscope in Ninety and seven patients with liver cirrhosis.Methods:Ninety-seven patients of liver cirrhosis were divided into A group and B group based on the hepatic function Child-Pugh grade,observed the incidence rate of esophageal varices,portal hypertensive gastropathy,ulcer,esophagitis and duodenitis,then compiled statistics.Results:The esophageal varices rate were a...