门脉高压性胃病与食道静脉曲张程度的关系研究

目的：了解门脉高压性胃病（PHG）与食过静脉曲张间的关系。方法：随机选择肝硬变患者共68例，就内镜下不同程度食道静脉曲张与PHG间的相互关系进行了初步的分析。结果：68例肝硬变患者食道静脉曲张的发生率为91．2％，PHG的发生率为67．7％，无食道静脉曲张者无1例发生PHG，有食道静脉曲张老，PHG的发生率为74．2％（P＜0．01），重度食道静脉曲张者合并重度PHG的占25％，而轻－中度食道静脉曲张发生重度PHG者占69．0％（P＜0．01）。结论：门脉高压是PHG的必须条件，但PHG的严重程度与食道静脉曲张并非呈正相关，可能还存在影响PHG程度的其它因素。

THE RELATIONSHIP BETWEEN PORTAL HYPERTENSIVE GASTROPATHY AND ESOPHAGEAL VARICES

In order to study the relationship between portal hypertensive gastropathy (PHG) and esophageal varices (EV),68 patients with liver cirrhosis were examined using gastric endoscopy. EV was found in 91. 2% of the patients, andPHG was found in 67. 6% of the patients. In the patients without EV, PHG was not found. PHG was found in74. 2% of the patients with EV(P <0.01 ). Severe PHG was found in 25 % of the patients with severe EV, and wasfound in 69. 7% of the patients with mild - moderate EV(P<0. 01 ). It has been demonstrated that portal hpertension is an essential condition of PHG, but the degree of PHG does not positively correlate with the degree of EVThere are probably other factors which infulence the degree of PHG.