食管静脉曲张结扎术对门脉高压性胃病的影响  

The impact of endoscopic variceal ligation on portal hypertensive gastropathy

作　　者：刘建勇[1] 

机构地区：[1]天津市传染病医院肝炎科,天津300192

出　　处：《中国肝脏病杂志（电子版）》2009年第2期28-30,共3页Chinese Journal of Liver Diseases：Electronic Version

摘　　要：目的观察肝硬化患者食管静脉曲张结扎术(EVL)对门脉高压性胃病(PHG)的影响。方法采用Cook6连发结扎器对98例食管静脉曲张患者进行内镜下结扎治疗,直至曲张静脉清除或缩小为直线状或蚯蚓状。定期观察PHG的发生和加重程度。结果 98例患者中术前患有PHG者80例(80.1%),术后患有PHG者86例(86.1%),其中6例治疗前不存在PHG,两者比较差异无显著性(P>0.05)。但EVL术后2周重度PHG的发生率由术前10例(10.20%)上升为术后29例(29.59%),两者比较差异有显著性(P<0.01)。结论 EVL术后短期可使PHG程度加重,值得临床重视。Objective To observe the impact of esophageal variceal ligation(EAL) on portal hypertensive gastropathy(PHG) in patients with liver cirrhosis.Methods Ninty eight patients with esophageal varices were treated by variceal ligation under endoscope guide before varices disappeared or shrinked.The occurrence and aggravation of PHG were checked on time.Results PHG existed in 80(80.1%) and 86(86.1%) patients before and after ligation,respectively(P > 0.05).But 29 cases(29.59%) developed to severe PHG with only 10 cases(10.20%) before the ligation and the difference was significant(P < 0.01).Conclusions PHG might become severe shortly after EVL,which should call clinicians' concerns.

关 键 词：食管静脉曲张套扎术 门脉高压胃病 

分 类 号：R575.2[医药卫生—消化系统]