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门脉高压性胃病是门脉高压所致的胃粘膜病变 ,在内镜下有其独特的病变特征。其表现为樱桃红斑 ,花斑样病变 ,以及食管胃静脉曲张 ,经 62例慢性肝炎肝硬化并门脉高压病人行常规胃镜下幽门螺旋菌检测 ,其检测率为72 4%。幽门螺旋菌感染 (简称HP)与胃炎、溃疡、胃癌密切相关 ,已被公认。本组 62例与HP感染似也有关系。其机理可能为HP感染破坏粘膜屏障加之胃粘膜血液循环障碍 ,粘膜下存在大量动静脉短路 ,使胃粘膜血流量显著减少、粘膜淤血、波纹状隆起、灶性糜烂。
Portal hypertensive gastropathy is a gastric mucosal lesion caused by portal hypertension, which has its unique lesion characteristics under endoscopy. The performance of cherry erythema, speckle-like lesions, and esophagogastric varicose vein, 62 cases of chronic hepatitis and cirrhosis of portal hypertension patients under conventional endoscopy Helicobacter pylori detection, the detection rate was 72 4%. Helicobacter pylori infection (referred to as HP) and gastritis, ulcers, gastric cancer are closely related, has been recognized. 62 cases of this group may also have a relationship with HP infection. The mechanism may damage HP infection mucosal barrier plus gastric mucosal blood circulation disorders, there are a large number of arteriovenous short circuit under the mucosa, gastric mucosal blood flow decreased significantly mucosal congestion, corrugated bulge, focal erosion.