摘要
目的 :探讨布加综合征患者上消化道的内镜表现。方法 :回顾分析 31例布加综合征患者胃镜检查结果及其临床资料 ,分析二者的关系。结果 :患者临床上以门静脉、下腔静脉高压、淤血的症状为主要表现 ,肝功能损害相对较轻 ,按Child -Puggh分级 ,A级 11例 ,B级 16例 ,C级 4例 ,内镜下主要表现为食道静脉曲张 (84 % )、胃、十二指肠黏膜充血发红 (10 0 % )、出血糜烂 (84 % )、Mosaic改变 (39% )、胃、十二指肠浅表或霜降样溃疡(32 % ) ,其中 ,mosaic改变在门静脉内经增宽的患者中显著高于不增宽者 ,而胃、十二指肠溃疡则只见于肝功能B、C级病人。结论 :食道静脉曲张、胃黏膜充血发红、出血糜烂及Mosaic改变是布加综合征上消化道内镜的主要表现。
Objective:To study the gastroscopic features of Budd-Chiari syndrome.Methods:The clinic and gastroscopic materials of 31 patients with Budd-Chiari syndrome since 1991 were analyzed retrospectively.Results:Clinic presentation of tho patients was caused by extravasated blood in portal and inferior vena cava. the damage of liver function was mild relatively. There were 11 case in Child-Pugh degree A, 16 case in degree B, 4 case in degree C.The gastroscopic appearances were mainly esophageal varices(84%), gastroduodenal mucosal congestion(100%), heamorrhagic erosive (84%), Mosaic change(39%), gastroduodenal surperficial ulcer(32%). Mosaic change could more frequentliy be seen in patients whose inferior veca cava internal diameter were extended. Gastroduodenal ulcer were seen only in child degree B and C, none in degree A.Conclusions:The esophageal varices, gastroduodenal mucosal congestion, erosive and mosaic change were the important endoscopic features in Budd-Chiari syndrome.
出处
《中国内镜杂志》
CSCD
2002年第9期20-21,27,共3页
China Journal of Endoscopy
