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编号:10924674
肝硬化患者食管静脉曲张的相关因素分析 501 例
http://www.100md.com 崔春吉, 金永日, 朴熙绪, 裴风郁
肝硬化;食管静脉曲张;发生率,肝硬化患者食管静脉曲张的相关因素分析501例,崔春吉,金永日,朴熙绪,裴风郁,通讯作者:,电话:,传真:,收稿日期:,接受日期:,Correlativefactorso
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     崔春吉, 金永日, 朴熙绪, 裴风郁, 延边大学医学院附属医院消化内科 吉林省延吉市 133000

    通讯作者:崔春吉, 133000, 吉林省延吉市局子街119号,延边大学医学院附属医院消化内科. yjadsl27181@163.com

    电话:0433-2660061 传真:0433-2513610

    收稿日期:2005-07-28 接受日期:2005-08-26

    Correlative factors of esophageal varices in patients with hepatocirrhosis: an analysis of 501 cases

    Chun-Ji Cui, Yong-Ri Jin, Xi-Xu Piao, Feng-Yu Pei

    Chun-Ji Cui, Yong-Ri Jin, Xi-Xu Piao, Feng-Yu Pei, Department of Gastroenterology, the Affiliated Hospital, Medical College of Yanbian University, Yanji 133000, Jilin Province, China

    Correspondence to: Chun-Ji Cui, Department of Gastroenterology,the Affiliated Hospital, Medical College of Yanbian University, 119 Juzi Street, Yanji 133000, Jilin Province, China. yjadsl27181@163.com

    Received: 2005-07-28 Accepted: 2005-08-26

    Abstract

    AIM: To investigate the incidence rate and the risk factors of esophageal varices (EV) in patients with hepatocirrhosis.

    METHODS: The clinical data of 501 patients with hepatocirrhosis were retrospectively studied.

    RESULTS: The incidence rate of EV in patients with hepatocirrhosis were significantly different between the groups of different sex (male 84.3% vs female 72.0%, P <0.05), different diameters of the portal vein (≥14 mm 85.9% vs <14 mm 72.5%, P <0.05), and different grades of Child-Pugh. It was significantly different between the patients with and without sotting (84.9%

    vs 77.3%, P <0.05) and ascites (83.9% vs 73.7%, P <0.05). The serum albumin and cholinesterase in EV patients with hepatocirrhosis were significantly lower than those in non-EV patients. The EV incidence rate was correlated with the sex and diameters of portal vein (OR = 0.491, P = 0.016, OR = 2.203, P = 0.001).

    CONCLUSION: The incidence of EV in patients with hepatocirrhosis is related to sex, the diameters of the portal vein, ascites, sotting, degree of hypohepatia, and dysbolism of serum albumin and cholinesterase ......

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