肝源性溃疡的临床分析  被引量:23

CLINICAL ANALYSIS OF HEPATOGENIC ULCER

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作  者:伍仁毅[1] 王文欢[1] 张熙纯[1] 

机构地区:[1]中南大学湘雅医院消化内科,长沙410008

出  处:《中国内镜杂志》2001年第1期12-13,共2页China Journal of Endoscopy

摘  要:目的 :观察肝源性溃疡的镜下特点及其与肝功能损害、门脉高压的关系。方法 :对 2 6 2例肝硬化高压患者的临床资料作了回顾性分析 ,其中肝源性溃疡患者按肝功能损害程度及食管静脉曲张程度分组。结果 :内镜下以十二指肠溃疡多见 ,其中浅表溃疡占 70 .49% ,长径 <0 .5cm的溃疡占 5 5 .74% ,伴发糜烂性胃炎者占6 2 .30 %。 2 6 2例中发现肝源性溃疡 6 1例 ,发生率为 2 3 .2 8%。经 χ2 检验 ,表明它与肝功能分级及食管静脉曲张程度均有关 (P <0 .0 5 )。结论 :肝源性溃疡的发病明显高于正常人群 ,其发生与肝功能损害及食管静脉曲张严重程度呈正相关。Objective:With a scrutiny of the gastroscope aspects of hepatogenic ulcer (HU),this sutdy was to find out the relationship between HU and hepatocelluar damage and portal hypertension.Methods:262 cases of portal hyprtension of cirrhosis were reviewed with HU being grouped according to the clinical gravity of cirrhosis and the gravity of esophageal varies (EV).Results:①Duodenal ulcer prevails under endoscopy.Superficial ulceration accounted for 70.49% while ulceration less than 0.5cm in full diameter made up 55.74%.The figure was 62.3% with erosive gastritis.②Out of a total of 262,61(23.28%) cases of HU were found in connection with portal hypertension.The χ 2 test showed that HU was related with hepatocellular grade and the gravity of EV (P<0.05).Conclusions:The incidence of HU were higher than normal.indicating that the onset of HU responded positively to the clinical intensity of cirrhosis and the gravity of EV.

关 键 词:肝硬化 门脉高压 肝源性溃疡 治疗 诊断 

分 类 号:R657.31[医药卫生—外科学]

 

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