肝硬化门脉高压患者20例胃镜检查分析

摘要

目的：探讨肝硬化门脉高压患者胃黏膜特点。方法：收治行胃镜检查肝硬化门脉高压患者20例，所有患者均采用电子胃镜进行检查。结果：乙肝肝硬化10例，酒精性肝硬化6例，脂肪性肝硬化4例，乙肝肝硬化组和脂肪性肝硬化组在门静脉高压性胃病方面比较，差异具有统计学意义(P＜0.05)。结论：急性胃黏膜病变及门静脉高压性胃病是肝硬化时门脉高压患者常见的合并症，但酒精性肝硬化以门静脉高压性胃病为主，而乙肝性肝硬化及脂肪性肝硬化急性胃黏膜病变及门静脉高压性胃病均多见。%Objective:To investigate the characteristics of gastric mucosa in patients with liver cirrhosis and portal hypertension. Methods:20 patients with cirrhosis and portal hypertension were selected.They were examined by electronic gastroscopy.Results:10 cases were hepatitis B liver cirrhosis;6 cases were alcoholic cirrhosis;the other 4 cases were fatty liver cirrhosis.The difference in portal hypertensive gastropathy has statistical significance between the hepatitis B cirrhosis group and the fatty liver cirrhosis group(P<0.05).Conclusion:Acute gastric mucosal lesion and portal hypertensive gastropathy are common complications in patients with liver cirrhosis portal hypertension,however,the alcoholic liver cirrhosis mainly with portal hypertension gastropathy, but acute gastric mucosal lesion and portal vein pressure gastric disease are common in liver cirrhosis and fatty liver cirrhosis.