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目的探讨肝硬化患者门脉高压性胃病的临床特点及其与肝功能分级、食管静脉曲张的关系。方法回顾106例肝硬化患者胃镜检查结果 ,并对其并发门脉高压性胃病情况进行回顾性分析。结果 106例肝硬化患者中,食管静脉曲张79例(74.5%),门脉高压性胃病62例(58.5%)。随肝功能Child-Pugh分级级别升高,门脉高压性胃病发病率及严重程度呈上升趋势(P<0.05);而随着食管静脉曲张严重程度上升,门脉高压性胃病发病率亦有上升(P<0.05)。结论肝硬化患者门脉高压性胃病发病率随肝功能分级级别升高及食管静脉曲张严重程度的增加而上升。
Objective To investigate the clinical characteristics of portal hypertensive gastropathy in patients with cirrhosis and its relationship with liver function classification and esophageal varices. Methods The results of gastroscopy in 106 patients with liver cirrhosis were retrospectively analyzed. The incidence of portal hypertensive gastropathy was retrospectively analyzed. Results Of the 106 patients with cirrhosis, 79 (74.5%) had esophageal varices and 62 (58.5%) had portal hypertensive gastropathy. The incidence and severity of portal hypertensive gastroparesis increased with the Child-Pugh classification of liver function (P <0.05). However, with the severity of esophageal varices increasing, the incidence of portal hypertensive gastropathy also increased (P <0.05). Conclusions The incidence of portal hypertensive gastropathy in patients with cirrhosis increases with the increase of liver function grade and the severity of esophageal varices.