乙型肝炎肝硬化患者门脉高压性胃病的胃镜检查特点分析  

Analysis of endoscopic features of portal hypertensive gastropathy in patients with hepatitis B-induced liver cirrhosis

作　　者：汪朝晖[1] 柳小琴[1] 

机构地区：[1]解放军第81医院全军肝病中心,南京市210002

出　　处：《实用肝脏病杂志》2010年第5期366-368,共3页Journal of Practical Hepatology

摘　　要：目的探讨肝硬化门脉高压性胃病(PHG)的胃镜特点及其与肝功能分级和食道静脉曲张的关系。方法对108例乙型肝炎肝硬化患者进行常规胃镜检查,对其并发PHG情况进行回顾性分析。结果在108例患者中,发现PHG42例(38.9%),食管静脉曲张91例(84.3%);肝功能Child-Pugh分级与PHG病变程度呈正相关(r=0.385,P=0.000),食管静脉曲张程度与PHG病变程度亦呈正相关(r=0.249,P=0.009)。结论随着肝功能分级及食管静脉曲张程度的加重,PHG的严重程度也逐渐加重。Objective To explore the endoscopic features of portal hypertensive gastropathy（PHG）in patients with hepatitis B-induced liver cirrhosis.Methods Endoscopy was performed routinely in 108 patients with hepatocirrhosis of chronic hepatitis B and the incidence of PHG was analyzed retrospectively.Results PHG was found in 42 （38.9%）,and esophageal varices in 91 （84.3%）patients;the Child-Pugh class was markedly related to the severity of PHG （P0.05）;there was a significantly positive correlation between the esophageal varices and PHG （P0.05）.Conclusion The incidence and severity of PHG are positively related to the liver function and esophageal varices.

关 键 词：肝硬化 门脉高压性胃病 肝功能分级 食管静脉曲张 

分 类 号：R575.2[医药卫生—消化系统]