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目的将234例门脉高压患者,根据内镜下静脉曲张的分布部位进行分类。方法内镜直视下对食管静脉曲张以及食管贲门静脉曲张(GOV1型)、食管胃底静脉曲张(GOV2型)、无食管静脉曲张的孤立性胃底静脉曲张(IGV1型)及异位静脉曲张(IGV2型)作内镜分类。结果234例门脉高压患者中,单纯食管静脉曲张67例(28.6%),食管静脉曲张伴贲门部静脉曲张98例(GOV1型,41.9%),食管静脉曲张经贲门延伸至胃底部46例(GOV2型,19.7%),内镜未见食管静脉曲张,仅有胃底静脉曲张者22例(IGV1型,9.4%),1例异位静脉曲张(IGV2型,0.4%)。结论门脉高压患者内镜检查表明半数以上患者存在胃静脉曲张,其中存在胃底静脉曲张的GOV2型和IGV1型68例,占全组患者的29.1%。应高度重视门脉高压患者胃静脉曲张的临床治疗,可选择内镜黏合剂、B-RTO术等方法。
Objective 234 cases of portal hypertension patients, according to the distribution of endoscopic varicose veins classification. Methods The endoscopic varices of esophageal varices and esophageal varices (GOV1), esophageal varices (GOV2), isolated varicose veins without esophageal varices (IGV1) and ectopic varicocele (IGV2 type) for endoscopic classification. Results Among 234 patients with portal hypertension, 67 cases (28.6%) had simple esophageal varices, 98 cases (102%) had esophageal varices accompanied by cardia varicose veins (GOV1 type, 41.9%), esophageal varices extended to 46 cases (GOV2 type, 19.7%). No esophageal varices were found in the endoscope. Twenty-two patients with only type 2 gastric varices (IGV1, 9.4%) and 1 patient with varicose veins (IGV2, 0.4%). Conclusions Endoscopy in patients with portal hypertension showed that more than half of patients had gastric varices, of which 68 were GOV2 and IGV1, accounting for 29.1% of the total. Should attach great importance to the clinical treatment of patients with gastric varices in patients with portal hypertension, the choice of endoscopic adhesives, B-RTO and other methods.