肝硬化食管静脉曲张内镜下皮圈结扎术对门静脉高压性胃病的影响及研究  

The effect of endoscopic variceal ligation on portal hypertensive gastropathy in liver cirrhosis patients

作　　者：王晓瑜[1] 徐艳[1] 王利兵[1] 吴云林[2] 陈平[2] 张国华[1] 

机构地区：[1]南京中医药大学附属张家港市中医医院消化内科,江苏张家港215600 [2]上海交通大学医学院附属瑞金医院北院消化内科,上海201821

出　　处：《诊断学理论与实践》2016年第5期468-471,共4页Journal of Diagnostics Concepts & Practice

摘　　要：目的 :分析肝硬化食管静脉曲张内镜下皮圈结扎术(endoscopic varix ligation,EVL)对门静脉高压性胃病(portal hypertensive gastropathy,PHG)的影响。方法:回顾性分析63例肝硬化PHG患者,其中35例食管静脉曲张行EVL术治疗者为治疗组,28例未行内镜下治疗者为对照组。8周后复查胃镜,观察患者有无PHG加重改变。结果 :EVL治疗组中发生PHG加重变者占74.28%(26/35),对照组中发生PHG加重变者占10.71%(3/28)。经χ2检验,两者间差异有统计学意义(P<0.01)。结论:食管静脉曲张的EVL治疗可能是PHG发生和加重的重要危险因素。Objective： To investigates the effect of endoscopic variceal ligation（EVL） on portal hypertensive gastropa-thy（PHG） in liver cirrhosis patients. Methods： Sixty-three liver cirrhosis patients with PHG were divided into 2 groups：patients with EVL treatment（35 cases） and control groups without endoscopic therapy（28 cases）. Eight weeks after thera-py, endoscopy was performed to determine the aggravation of PHG. Results： Increased severity of PHG was seen in 26cases（74.28%, 26/35） of treated group, while only 3（10.71%） in the control group showed increase of severity（ P0.01）.Conclusions： EVL of esophageal varices might be an important risk factor for the development and aggravation of PHG in liver cirrhosis patients.

关 键 词：肝硬化 食管静脉曲张皮圈结扎术 门静脉高压性胃病 

分 类 号：R573.9[医药卫生—消化系统]