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肝硬化患者的胃内常有许多改变,内镜检查示胃粘膜紊乱。许多研究认为门脉高压在其病因与发病机理中起作用。本文对此作了进一步研究。病人和方法:受试者分为三组:第1组肝硬化伴门脉高压者83例;第2组为肝硬化不伴门脉高压者53例;第3组为对照者135例。各组均无胃肠道出血,未用过任何对胃粘膜有损害的药物。所有患者均作食管、胃和十二指肠镜检查。内镜所见:包括瘀点、猩红热样疹、麻疹样疹、蛇皮样损害。活检:每例取标本6块。胃体下部胃角处小弯、大弯、前壁、后壁各1块,胃窦部幽门前5cm 处1块,胃体上部1块。
Many patients with liver cirrhosis often change, endoscopic examination showed gastric mucosal disorders. Many studies suggest that portal hypertension plays a role in its etiology and pathogenesis. This article made a further study. Patients and Methods: Subjects were divided into three groups: group 1 cirrhosis with portal hypertension 83 cases; group 2 cirrhosis without portal hypertension in 53 cases; group 3 as control 135 cases. There was no gastrointestinal bleeding in each group, and no drugs that damaged the gastric mucosa were used. All patients underwent esophageal, gastric and duodenal examination. Endoscopic findings: including petechia, scarlet fever-like rash, measles-like rash, snake skin-like damage. Biopsy: Each sample taken 6. Gastric lower corner of the stomach a small bend, big bend, the anterior wall, the posterior wall of each one, antral pylorus 5cm at 1, the upper part of the body of the stomach.