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目的:探讨肝炎后肝硬化患者胃镜、超声表现的临床评估。方法:132例经临床和实验室确诊的肝炎后肝硬化患者于入院后2~3 d行胃镜、超声检测,着重观察门静脉、脾静脉及胃黏膜改变特征。结果:132例肝硬化中超声检测门静脉、脾静脉均有不同程度增宽,且与肝功能分级密切;胃镜检查发现食道胃底静脉曲张119例、消化性溃疡病76例、门脉高压性胃病(PHG)105例,糜烂性胃炎25例,浅表性胃炎34例,萎缩性胃炎9例,充血性胃炎3例,反流性胃炎5例。结论:胃镜表现多样化,可以是两者以上形式存在,超声可以检测肝炎后肝硬化门静脉、脾静脉现况,两者对肝硬化患者判断预后及指导治疗具有重要的临床意义。
Objective: To investigate the clinical evaluation of gastroscopy and ultrasound in cirrhotic patients with hepatitis. Methods: 132 patients with posthepatitic cirrhosis diagnosed by clinic and laboratory were examined by gastroscopy and ultrasound 2 ~ 3 days after admission. The changes of portal vein, splenic vein and gastric mucosa were observed. Results: In 132 cases of liver cirrhosis, portal vein and splenic vein were widened to different extents and graded with liver function. Gastroscopy revealed 119 cases of esophageal and gastric varices, peptic ulcer disease in 76 cases, portal hypertensive gastropathy (PHG) in 105 cases, 25 cases of erosive gastritis, 34 cases of superficial gastritis, 9 cases of atrophic gastritis, 3 cases of congestive gastritis and 5 cases of reflux gastritis. Conclusion: The performance of gastroscopy can be more than two forms. Ultrasound can detect the status of portal vein and splenic vein of liver cirrhosis after liver injury. Both of them have important clinical significance in judging the prognosis and guiding treatment of cirrhosis patients.