肝硬化患者门脉高压性胃病的胃镜检查与分析

目的：探讨肝硬化并门脉高压性胃病的临床特点及其与肝功能分级、食管静脉曲张的关系。方法；对198例肝硬化患者进行常规胃镜检查，并对其并发门脉高压性胃病情况进行回顾性分析。结果：198例肝硬化患者中，食管静脉曲张172例（86．9％），门脉高压性胃病发生率为64．6％（128例）。随肝功能Child—Pugh分级级别增加，门脉高压性胃病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，门脉高压性胃病发病率亦有上升（P〈0．01）。结论：肝硬化患者门脉高压性胃病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。

Gastroscopy and analysis of portal hypertensive gastropathy in the patients with hepatocirrhosis

Objective To discuss the clinical characteristics of portal hypertensive gastropathy in patients with hepatocirrhosis and its relation with liver function and varicosity of esophagus. Methods Gastric endoscopy was performed in 198 patients with hepatocirrhosis and the incidence rate of portal hypertensive gastropathy was retrospectively analyzed. Results Of all the 198 patients, 172(86.9%) had varicosity of esophagus and the incidence rate of portal hypertensive gastropathy was 64.6%. The incidence rate of portal hypertensive gastropathy was increased with the increased grade of live function and esophageal varicosity (P<0.01). Conclusion The incidence rate of portal hypertensive gastropathy is increased with the increased grade of live function and the severity of esophageal varicosity.