孤立性胃十二指肠静脉曲张56例临床分析_房太勇.pdfVIP

12 3 Vol.12　No.3 2002 2 　　　　　　　　　 China Journal of Modern Medicine 　　　　　　　　　　　　　　　　 Feb.2002 56 福建医科大学附属二院消化科(泉州362000)　房太勇 山东省烟台市毓璜顶医院胃镜室(264000) 鞠爱红 目的:分析孤立性胃十二指肠静脉曲张的病因和治疗。方法:从1990 年1 ～ 1999 年12 10 年间共收 治门脉高压946 例, 发现孤立性胃十二指肠静脉曲张56 例, 对其临床资料进行分析。结果:发病率 5.9%。 肝硬化35例, 占62.5%;胰腺疾患11例, 占19.6%;其他 10 例, 占17.9%。21例患者呕血、黑便, 出血率为 37.5%。外科手术治疗19例, 内镜下硬化治疗8 例, 急诊止血3 例, 血管介入栓塞治疗1例,余 30 例内科保 守治疗。结论:孤立性胃十二指肠静脉曲张大部分由病毒性肝炎肝硬化门脉高压引起, 部分病因是胰腺疾患。 治疗据病因不同采取不同措施, 有手术适应证者尽量争取手术治疗, 内镜下硬化治疗可作为孤立性胃静脉曲 张急性出血时的止血手段。 　胃十二指肠静脉曲张　孤立性 　R573　R574.51 ISOLATED GASTRODUODENAL VARICES: AN ANALYSIS OF 56 CASES Fang Ta iyoung ,J u Aihong Department of Gastroenterology,Second Affiliated ospital of FuJian Medical University,Quanzhuo 362000 [Abstract] Objective:To analyze the etiologies, diagnosis and therapeutic modalities of isolated gastroduodenal varices.Methods:Fifty_six cases of isolated gastroduodenal varices in 946 patients with portal hypertension were di- agnosed by our two hospitals from January 1990 to December 1999, and their clinical data were analyzed.Resu ts: The morbidity was 5.9%.We found liver cirrhosis in 35 cases (62.5%), 21cases were due to hepatitis B, among them fivewere complicated with hepatocellular carcinoma.Pancreatic diseases werefound in 11cases(19.6%).Oth- er etiologies in 10 patients (17.9%)were as follows:two with lymphoma, one with portal vein cavernous degenera- tion, one with myelofibrosis, onewith lymph node metastasis in retroperitoneal secondary to ovarian carcinoma , and five with unknown cause