论文部分内容阅读
目的 :寻找乙型肝炎肝硬化门静脉高压性胃病的内镜特征。方法 :对我院 2 0 0 0年 3月～ 2 0 0 1年 3月收治的乙肝肝硬化门静脉高压症病人 1 59例 (A组 )、乙型肝炎肝硬化 (非门静脉高压症 )病人 1 1 4例 (B组 )、慢性胃炎病人 97例 (C组 )分别进行内镜调查 ,比较这 3组病人的内镜下表现。结果 :B组和C组胃粘膜内镜下的各种表现出现机率的差异无统计学意义 (P >0 .0 5) ,马赛克征 ,樱桃红点 (斑 ) ,瘀点 (斑 ) ,胃粘膜糜烂在A组中出现的机率分为 63 .52 %、1 9.50 %、45 .2 8%、49.69% ,均高于前两组 (P <0 .0 5)。樱桃红点 (斑 )出现时全部伴有马赛克征 ,68.35 %的胃粘膜糜烂和 68.0 6 %的瘀点 (斑 )均伴有马赛克征。结论 :马赛克征、樱桃红点 (斑 )、瘀点 (斑 )、胃粘膜糜烂是乙肝肝硬化门静脉高压性胃病常见的和最具特征性的内镜表现 ,多位于胃的近端。马赛克征是最基本的内镜表现 ,马赛克征、瘀点 (斑 )和胃粘膜糜烂的组合较常见 ,胃粘膜糜烂和樱桃红点 (斑 )这一组合预示胃粘膜病变较重
Objective: To find the endoscopic features of portal hypertensive gastropathy in patients with hepatitis B cirrhosis. Methods: A total of 159 patients (group A) with hepatitis B cirrhosis and portal hypertension who received hepatitis B cirrhosis (non-portal hypertension) in our hospital from March 2000 to March 2001 were enrolled in this study. 14 cases (group B) and 97 cases of chronic gastritis (group C) were examined by endoscopy, and the endoscopic findings of these three groups were compared. Results: There was no significant difference in the occurrence rates of gastric mucosal endoscopy in group B and group C (P> 0.05), mosaic symptoms, cherry red spots (spots), petechia (spots), stomach The incidence of mucosal erosion in group A was 63.52%, 1.95%, 45.28% and 49.69%, respectively, higher than the former two groups (P <0.05). Cherry red spots (spots) appear all accompanied by mosaic sign, 68.35% of gastric mucosal erosion and 68.0 6% of petechiae (plaques) are accompanied by mosaic sign. Conclusion: Mosaic sign, cherry red spots (spots), petechiae (spots) and gastric mucosal erosion are the most common and most characteristic endoscopic manifestations of portal hypertensive gastropathy in patients with hepatitis B cirrhosis, mostly located in the proximal stomach. Mosaic sign is the most basic endoscopic performance, mosaic syndrome, petechia (spot) and gastric mucosal erosion is more common combination of gastric mucosal erosion and cherry red spots (spots) of this combination indicates that gastric mucosal lesions heavier