The Clinical Analysis Of Portal Hypetrensive Gastropathy

Objective:to analysis the relationship of portal hypertensive gastropathy and five clinical factors such as liver function, portal vein, splenic vein, esophageal varices, endoscopic treatment through the statistical.Methods:168case is randomly selected from2009to2011in the first hospital of jilin university.In accordance with the endoscopic manifestations of PHG, the patines can be divided into three groups, we compare the liver function, portal vein, splenic vein, esophageal varices and endoscopic therapy between groupsDiagnostic criteria the diagnostic standard of PHG is the classification of McCormack, it divided into PHG into mild, severe by the endoscopic, the mild: pale pink and scarlet fever-like rash sample spots; mucosal surface of cords redness; erythema in exfoliative sample or mosaic appearance, namely erythema with plaques, mucosa appears white mesh like snakeskin sample performance; the severe:diffuse cherry erythroid-like spots or diffuse confluent hemorrhagic gastritisResults:168cases of liver cirrhosis patients complicated with PHG was96(57.14%), complicated with esophageal varices was142(84.52%), the child-pugh degree A was20(11.9%), the child-pugh degree B was57(33.92%), the child-pugh degree C was19(11.3%), the portal vein and spleen vein of PHG group is13.5+0.31cm,0.92+0.25cm,versus the other group is14.7+0.38cm,0.95+0.32cm,the light EV of PHG was10(7%),the moderate EV of PHG was25(17.6%),the severe EV of PHG was61(42.96%), There were statistically significant differences (p<0.05), there were statistically significant difference comparing the PHG after endoscopic treatment (p<0.05). Conclusion There were not statistically significant differences between PHG and liver function, Portal vein and PHG have positive relation, PHG and esophageal varices have positive correlation, it can illustrate endoscopic ligation have relation with PHG.