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肝硬化门静脉高压性胃病的胃镜表现及相关因素分析

王文生 朱光曦 文良志 陈东风

李甜甜, 孙静, 王权, 丁俊强, 王佳, 薛慧, 张弢, 段学章. 小肝癌立体定向放射治疗的效果及预后分析[J]. 临床肝胆病杂志, 2018, 34(8): 1702-1706. DOI: 10.3969/j.issn.1001-5256.2018.08.022.
引用本文: 李甜甜, 孙静, 王权, 丁俊强, 王佳, 薛慧, 张弢, 段学章. 小肝癌立体定向放射治疗的效果及预后分析[J]. 临床肝胆病杂志, 2018, 34(8): 1702-1706. DOI: 10.3969/j.issn.1001-5256.2018.08.022.
Li TianTian, Sun Jing, Wang Quan, Ding JunQiang, Wang Jia, Xue Hui, Zhang Tao, Duan XueZhang. Clinical effect of stereotactic body radiotherapy in treatment of patients with small hepatocellular carcinoma and related prognostic factors[J]. J Clin Hepatol, 2018, 34(8): 1702-1706. DOI: 10.3969/j.issn.1001-5256.2018.08.022.
Citation: Li TianTian, Sun Jing, Wang Quan, Ding JunQiang, Wang Jia, Xue Hui, Zhang Tao, Duan XueZhang. Clinical effect of stereotactic body radiotherapy in treatment of patients with small hepatocellular carcinoma and related prognostic factors[J]. J Clin Hepatol, 2018, 34(8): 1702-1706. DOI: 10.3969/j.issn.1001-5256.2018.08.022.

肝硬化门静脉高压性胃病的胃镜表现及相关因素分析

DOI: 10.3969/j.issn.1001-5256.2020.03.017
基金项目: 

陆军军医大学2019年度临床医学科研人才资助项目(2019XLC3045); 

详细信息
  • 中图分类号: R575.2;R573

Gastroscopic manifestations of portal hypertensive gastropathy in liver cirrhosis and related factors

Research funding: 

 

  • 摘要: 目的探讨门静脉高压性胃病(PHG)胃镜下胃黏膜特征及其与食管胃静脉曲张、溃疡病及肝硬化并发症之间的关系。方法回顾性分析2012年8月-2018年6月陆军军医大学大坪医院867例肝硬化患者临床资料,统计其胃镜下食管胃静脉曲张、PHG、溃疡病发生的情况,收集肝硬化并发自发性细菌性腹膜炎、肝性脑病、原发性肝癌的数据资料。计数资料组间比较采用χ2检验,相关性分析采用Spearman相关性检验。结果肝硬化患者PHG发生率高达66. 2%(574/867),轻度PHG胃黏膜改变以红点灶(68. 6%)和蛇皮征(56. 8%)为主,而重度PHG以弥漫红斑为主(76. 5%)。PHG在不同程度的食管静脉曲张中发生率差异显著(χ2=304. 712,P <0. 05),并且随着食管静脉曲张加重,PHG程度亦越来越重(r=0. 515,P <0. 05)。不同程度胃静脉曲张的患者PHG发生率差异有统计学意义(χ2=81. 004,P <0. 05),且PHG程度与胃静脉曲张程度相关(r=0. 292,P <0. 05...

     

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  • 收稿日期:  2019-11-29
  • 出版日期:  2020-03-20
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