胃静脉曲张:临床及内镜特征初探  

The clinical and endoscopic features of gastric varices

作　　者：龚飞跃[1] 曲洁新[1] 

机构地区：[1]珠海市人民医院,暨南大学医学院第三附属医院,519000

出　　处：《中华消化内镜杂志》2001年第6期332-334,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的 初步观察胃静脉曲张的临床及内镜特征。方法 回顾分析１０年来我院资料完整的胃静脉曲张（ＧＶ）８５例，并与同期仅有食管静脉曲张（ＥＶ）１９６例对照。结果ＧＶ的检出率占同期静脉曲张的３０．２％，其中胃食管静脉曲张Ｉ型（ＧＯＶ－１）占７４．ｌ％，ＧＯＶ－Ⅱ型占２２．４％，单纯胃静脉曲张Ｉ型（ＩＧＶ－Ｉ）占２．４％，ＩＧＶ－Ⅱ型占ｌ，２％。ＧＯＶ型ＣＶ的病因以肝硬化门脉高压最多见，ＩＧＶ型ＧＶ主要见于非肝硬化节段性门脉高压；ＧＶ的各型的检出率与肝功能Ｃｈｉｌｄ分级无关，ＧＶ合并门脉高压性胃病（ＰＨＧ）发生率高于ＥＶ（Ｐ＜０．０１）。ＧＯＶ－Ⅱ较ＣＯＶ－Ｉ合并ＰＨＧ的检出率高、程度重，ＧＯＶ－Ⅱ较ＧＯＶ－Ｉ合并ＥＶ的程度重；而ＧＶ的出血率显著低于ＥＶ（Ｐ＜０．０１）。结论Ｓａｒｉｎ分类法简单、实用，适合国内推广应用。ＧＶ并非少见，检出率占全部静脉曲张的３０．２％，其中，ＧＯＶ－Ｉ最多见，ＧＯＶ－Ⅱ欠之，ＩＧＶ较少，而 ＧＶ出血较ＥＶ少见。Objective To investigete the clinical and endoscopic featrures of gasrtic varices (GV) in our country. Methods To analyze retroepective study the materials of endoscopically diagnosed GV in 85 patients at our hospital from 1990 to 2000. Result Of 281 patients with varices, GV were detected in 85 (30.2% ) under endoscopy. According to Sarin' a category of GV, GOV - I detected in 63(74. 1 GOV- II 19 (22.4%),IGV- I in2(2.4%) and IGV- II 1 (1. 18%),The common cause of GOV was liver cirrhosis and ICV was segmental portal hypertension without liver disease, No correlation has been observed between the detective rate of GV category and liver function. The rate of portal hypertensive gastropathy (PHC) with GV was higher than that with esophageal varices (EV) only( p <0. 01). The rate of PHC was highest and it severity was the most severe in GOV - II. The rate of bleeding in GV was lower than in EV (P <0. 01). Conclusion Sarin' a category seems simple and practicable. GV isn't uncommon in clinical practice and occurres about thirty per cent in all varices in our country.

关 键 词：门脉高压性胃病 胃静脉曲张 内镜 

分 类 号：R575.2[医药卫生—消化系统]