摘要
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 )
Objective:To study the endoscopic signs of portal hypertensive gastropathy of hepatitis B cirrhosis.Method:To compare the endoscopic findings among the three groups: group A, 159 patients with hepatitis B cirrhosis and portal hypertension; group B, 114 patients with hepatitis B cirrhosis but without portal hypertension; group C, 97 patients with chronic gastritis but without hepatitis B. Results: In patients with liver cirrhosis and portal hypertension, the most frequent endoscopic findings were mosaic(63.52%), cherry red spot(19.50%), petechia(45.28%), gastric mucosal erosion(49.69%), spontaneous bleeding(5.66%) compared with controls. These typical endoscopic signs were particularly prominent in the proximal part of the gastric body and cardia. All cherry red spot, 68.06 percent of petechia and 68.35 percent of gastric mucosal erosion accompany mosaic.Conclusion: Endoscopic signs of gastric mucosa of portal hypertensive gastropathy of hepatitis B cirrhosis are mosaic, cherry red spot, petechia and gastric mucosal erosion, which are particularly prominent in the proximal part of the gastric body and cardia. Mosaic is the most elementary endoscopic findings. It is common that mosaic is combinated with petechia and gastric mucosal erosion. When gastric mucosal erosion appears with cherry red spot shows that the gastric mucosa lesion is serious.
出处
《中国内镜杂志》
CSCD
2002年第7期23-25,36,共4页
China Journal of Endoscopy
