摘要
目的探讨左侧门脉高压症(LSPH)的临床表现及超声内镜(EUS)特征。方法回顾性分析13例LSPH患者的临床资料,总结其临床表现,分析病因及EUS特点。结果本组患者多以上腹不适、呕血、黑便为首发症状;胰源性疾病(10/13)为主要病因,其中慢性胰腺炎2例,慢性胰腺炎并假性囊肿2例,胰腺肿瘤6例,腹膜后肿瘤1例,病因不明2例;EUS下表现以孤立性胃底静脉曲张(11/13)为主。结论 LSPH病因复杂多样,但以胰源性疾病最常见,孤立性胃底静脉曲张是其特征性表现之一。EUS不仅能明确病灶及毗邻结构,还能运用EUS-FNA技术进行定性诊断,在LSPH诊断中具有重要价值。
Objective To investigate the clinical presentation and endoscopic ultrasonography （EUS） features of left-side-portal hypertension（LSPH）. Methods Retrospectively, clinical materials of 13 patients with LSPHA were collected to summarize its clinical presentation, and analyze pathogenisis etiology and EUS features. Results The first symptom of the 13 enrolled patients were mainly epigastric distress, hematemesis,and melena. Pancreatic disease was the leading cause of LSPH ：2 cases of chronic pancreatitis,2 cases of chronic pancreatitis combined with pancreatic pseudoeyst ,6 cases of pancreatic tumor, 1 case of retroperitoneal neoplasms, and 2 cases of unknown cause. Isolated fundal varices were revealed by EUS in 11 cases. Conclusion LSPH has various etiologies, but pancreatic disease is the most common cause. Isolated fundal varice is one of the characteristic features of LSPH. EUS can not only identify lesions and adjacent structures,but also perform qualitatively diagnosis when guided with fine needle aspiration,indicating its value in the diagnosis of LSPH.
出处
《广西医学》
CAS
2017年第1期78-80,共3页
Guangxi Medical Journal
关键词
左侧门脉高压症
超声内镜
临床表现
病因
孤立性胃底静脉曲张
Left-side-portal, Endoscopic ultrasonography, Clinical presentation Etiology, Isolated fundal varices
