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目的:探讨肝硬化门脉高压性结肠病与肝功能分级、食管静脉曲张、下消化道出血的关系以及内镜下特征,为诊治该类疾病提供一些依据。方法:回顾性分析48例肝硬化门脉高压患者临床表现及内镜特征,并对其并发的肝硬化门脉高压性结肠病进行分析。结果:48例肝硬化门脉高压患者中,肝硬化门脉高压性结肠病发生率54.2%。随着肝硬化门脉高压病程的延长,其门脉高压性结肠病的发生率明显增加,下消化道出血的机会也明显增加;而门脉高压性结肠病的发生与肝功能分级无关。结论:肝硬化门脉高压患者常出现门脉高压性结肠病。门脉高压性结肠病是肝硬化门脉高压患者下消化道出血的主要原因,但不是唯一原因。
Objective: To investigate the relationship between liver cirrhosis with portal hypertension and liver function grading, esophageal varices, lower gastrointestinal bleeding and endoscopic features, to provide some basis for the diagnosis and treatment of such diseases. Methods: The clinical manifestations and endoscopic features of 48 cirrhotic patients with portal hypertension were analyzed retrospectively. The incidence of cirrhosis with portal hypertension was analyzed. Results: Among 48 cirrhotic patients with portal hypertension, the incidence of portal hypertension was 54.2%. With the prolonged course of cirrhosis and portal hypertension, the incidence of portal hypertensive colitis was significantly increased, the chance of lower gastrointestinal bleeding was significantly increased; and portal hypertension colon disease and liver function has nothing to do with the classification. Conclusion: Patients with cirrhosis and portal hypertension often have portal hypertension. Portal hypertension is the main cause of lower gastrointestinal bleeding in cirrhotic patients with portal hypertension, but not the only reason.