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目的:了解门脉高压性胃病(PHG)与食过静脉曲张间的关系。方法:随机选择肝硬变患者共68例,就内镜下不同程度食道静脉曲张与PHG间的相互关系进行了初步的分析。结果:68例肝硬变患者食道静脉曲张的发生率为91.2%,PHG的发生率为67.7%,无食道静脉曲张者无1例发生PHG,有食道静脉曲张老,PHG的发生率为74.2%(P<0.01),重度食道静脉曲张者合并重度PHG的占25%,而轻-中度食道静脉曲张发生重度PHG者占69.0%(P<0.01)。结论:门脉高压是PHG的必须条件,但PHG的严重程度与食道静脉曲张并非呈正相关,可能还存在影响PHG程度的其它因素。
Objective: To understand the relationship between portal hypertensive gastropathy (PHG) and eating varicose veins. Methods: A total of 68 patients with cirrhosis were randomly selected. The relationship between esophageal varices and PHG under different endoscopic conditions was analyzed. Results: The incidence of esophageal varices was 91.2% in 68 patients with liver cirrhosis, the incidence of PHG was 67.7%, no PHG was found in those without esophageal varices, and the incidence of esophageal varicocele was higher than that of PHG (P <0.01), severe esophageal varices with severe PHG accounted for 25%, while mild to moderate esophageal varices with severe PHG accounted for 69.0% (P <0.01 ). Conclusions: Portal hypertension is a necessary condition for PHG. However, the severity of PHG is not positively correlated with esophageal varices. Other factors that may affect PHG may exist.