CAJ | 학술논문

目的：了解肝硬化住院患者肝源性溃疡的内镜特点。方法对69例行胃镜检查发现肝源性溃疡住院患者的资料进行回顾性分析。结果69例均为肝炎后肝硬化患者。临床表现以腹痛、食欲不振、反酸、上腹不适、腹胀、肝区不适、黑便、呕血为主。内镜检查：溃疡均为活动期,7例溃疡表面见血痂附着。十二指肠球部溃疡43例,胃溃疡21例,复合溃疡5例,所有患者均合并有不同程度的门脉高压性胃病及静脉曲张。结论肝源性溃疡患者缺乏典型的消化性溃疡症状,易被肝硬化的表现所掩盖,肝硬化的患者应定期进行消化内镜检查,及时发现上消化道疾病,及早治疗。
목적：료해간경화주원환자간원성궤양적내경특점。방법대69례행위경검사발현간원성궤양주원환자적자료진행회고성분석。결과69례균위간염후간경화환자。림상표현이복통、식욕불진、반산、상복불괄、복창、간구불괄、흑편、구혈위주。내경검사：궤양균위활동기,7례궤양표면견혈가부착。십이지장구부궤양43례,위궤양21례,복합궤양5례,소유환자균합병유불동정도적문맥고압성위병급정맥곡장。결론간원성궤양환자결핍전형적소화성궤양증상,역피간경화적표현소엄개,간경화적환자응정기진행소화내경검사,급시발현상소화도질병,급조치료。
Objective To understand the endoscopic characteristics of hepatogenic ulcer in liver cirrhosis patients. Methods Clinical data of 69 cases of hepatogenic ulcer detected by gastroscope were retrospectively analyzed. Results All the 69 cases had posthepatitic cirrhosis. The clinical manifestations mainly included abdominal pain, anepithymia, sour regurgitation, epigastric discomfort, abdominal distension, hepatic region discomfort, melena and haematemesis. Endoscopic examination showed that all ulcers were at active stage. There were 7 cases with crust on the surface of ulcer, 43 cases with duodenal bulbar ulcer, 21 cases with gastric ulcer, and 5 cases with complex ulcer. All cases had various degrees of portal hypertensive gastropathy and varicosity. Conclusion Patients with hepatogenic ulcer have few symptoms of peptic ulcer, which makes it easy to be covered up by liver cirrhosis. Regular endoscopic examination should be taken by patients with liver cirrhosis, so as to detect and treat upper digestive tract diseases timely.