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本所对近5年来经内镜检查的肝硬化门静脉高压病人275例(其中58例合并肝癌)就其食管静脉曲张(EV)和胃静脉曲张(GV)进行分型,分为以EV为主型组(177例)和以GV为主型组(98例),就两组临床症状或合并症进行对比。EV、GV出血率:EV组出血率高(80.2％),GV组低(26.85％);肝性脑病发生率:EV组低(15.25％),GV组高(55.2％);child分级两组对比:EV为主型C级占23％,GV组占43％,EV组肝功好于GV组,两组相比差异显著。EV和/或OV与门静脉造影相比:EV组主要由胃左静脉供血为主,而GV组以胃后或胃短静脉供血为主。分型对选择治疗方案与预后估价十分重要
The end of the past 5 years by endoscopy in patients with cirrhosis of portal hypertension in 275 cases (of which 58 cases of liver cancer) on the esophageal varices (EV) and gastric varices (GV) were divided into EV-based Type group (177 cases) and GV-dominated group (98 cases), the clinical symptoms or complications of the two groups were compared. EV and GV hemorrhage rates were higher in EV group (80.2%) than in GV group (26.85%); incidence of hepatic encephalopathy was lower in EV group (15.25%) and higher in GV group (55.2% In contrast, EV grade C accounted for 23%, GV group 43%, and EV group liver function was better than GV group. There was significant difference between the two groups. EV and / or OV compared with portal vein angiography: the EV group mainly by the left venous blood supply, while the GV group mainly by the gastric or short gastric venous blood supply. Typing on the choice of treatment plan and prognosis is very important