目的:分析肝源性渍疡的临床及胃镜下特点及其与门脉高压程度的关系。方法:对134例胛硬化住院病人的胃镜检查及临床资料进行回顾性分析,其中肝源性渍疡患者按肝功能损害程度及食道静脉曲张程度分组分析。结果:肝源性溃疡在肝硬化患者中发病率为17.2%(23/134)。在肝硬化并上消化道出血的成因中占11.1%,以胃溃疡为主(52.2%),多呈浅表性小溃疡及多发性,半数以上伴糜烂性胃炎。结论:肝源性溃疡的发病率较正常人群消化性溃疡发病率高,与肝功能损害及食道静脉曲张程度呈正相关。 Objective: To analyze the clinical and endoscopic features of liver-derived ulcer and its relationship with the degree of portal hypertension. Methods: The gastroscopy and clinical data of 134 patients with scapulohumeral inpatients were retrospectively analyzed. The patients with liver-derived type of gastric ulcer were divided into group according to degree of liver dysfunction and degree of esophageal varices. Results: The incidence of hepatic ulcer in cirrhotic patients was 17.2% (23/134). The causes of cirrhosis and upper gastrointestinal bleeding accounted for 11.1%, with gastric ulcer (52.2%), mostly superficial small ulcers and multiple, more than half with erosive gastritis. Conclusions: The incidence of liver-derived ulcer is higher than that of normal people in peptic ulcer, and it is positively correlated with liver dysfunction and esophageal varices.