异位静脉曲张出血二例并文献报道127例临床分析

摘要

分析2例异位静脉曲张(EV)病例及万方数据库和中国知网数据库文献报道的127例EV患者临床资料.129例中,男93例,女36例,年龄35 ～ 80岁.有肝硬化病史104例(80.6％).首发表现主要包括黑便46例(35.7％),呕血24例(18.6％).确诊检查方法:内镜100例(77.5％),手术病理检查16例(12.4％),血管造影13例(10.1％).EV多发部位为十二指肠52例(40.3％),直肠34例(26.4％).死亡4例(3.1％),125例(96.9％)短期预后较好.提示EV以肝硬化合并门脉高压原因多见,在消化道出血病例中有一定发病率,在临床工作中应提高警惕.%Two cases of ectopic varices(EV) admitted in our hospital were reported.According to literature search from Wanfang Data and China National Knowledge Infrastructure 127 cases of ectopic varices were reported in mainland China.Among 129 cases there were 93 males and 36 females,with a mean age of (54.4 ± 7.2) years.The most common cause of EV was portal hypertension with cirrhosis (n =104,80.6％).The common manifestations of EV were melena (35.7％) and hematemesis (18.6％).The diagnosis was confirmed by endoscopy in 100 cases(77.5％),by surgery in 16 cases(12.4％),and by angiography in 13 cases(10.1％).The sites of EV lesions included duodenum (n =52,40.3％),rectum (n =34,26.4％),and jejunum or ileum (n =13,10.1％).Among 129 EV patients,4(3.1％)died and 125(96.9％)survived.Analysis indicates that most ectopic varices are secondary to portal hypertension of cirrhosis,and ectopic varices account for a certain percentage of all gastrointestinal hemorrhage.