肝硬化门脉高压性结肠病(附48例报告)  

Portal Hypertensive Colonopathy in Patients with Liver Cirrhosis(Clinical Analysis of 48 Cases)

作　　者：李本华 蒋灿辉 何志斌 彭廷勇 

机构地区：[1]简阳市川空人民医院,四川简阳641400 [2]四川内江市三人民医院 [3]四川江油市人民医院

出　　处：《华西医学》2010年第1期132-134,共3页West China Medical Journal

摘　　要：目的:探讨肝硬化门脉高压性结肠病与肝功能分级、食管静脉曲张、下消化道出血的关系以及内镜下特征,为诊治该类疾病提供一些依据。方法:回顾性分析48例肝硬化门脉高压患者临床表现及内镜特征,并对其并发的肝硬化门脉高压性结肠病进行分析。结果:48例肝硬化门脉高压患者中,肝硬化门脉高压性结肠病发生率54.2%。随着肝硬化门脉高压病程的延长,其门脉高压性结肠病的发生率明显增加,下消化道出血的机会也明显增加;而门脉高压性结肠病的发生与肝功能分级无关。结论:肝硬化门脉高压患者常出现门脉高压性结肠病。门脉高压性结肠病是肝硬化门脉高压患者下消化道出血的主要原因,但不是唯一原因。Objective： To investigate the clinical characteristics of portal hypertensive colonopathy（PHC） in patients with liver cirrhosis and to examine its association with liver function,esophageal varices and lower gastrointestinal bleeding and the colonoscopic features.Methods： Fourty-eight cirrhotic patients with portal hypertension were analyzed retrospectively,and the colonoscopic findings were evaluated.Results： Incidence rate of PHC was 54.2%.The occurrence of PHC and lower gastrointestinal bleeding were significantly associated with the severity of portal hypertensive,but not related to Child-Pugh classification.Conclusion： PHC occurs frequently in cirrhotic patients with portal hypertensive and is a main reason of lower gastrointestinal bleeding in cirrhotic patients with portal hypertension.

关 键 词：结肠病 肝硬化 门脉高压 

分 类 号：R575.2[医药卫生—消化系统] R574.62[医药卫生—内科学]