尿毒症合并上消化道黏膜病变的内镜下表现与临床分析  

Analysis of the Upper Gastrointestinal Mucosa Lesions and Clinical Features of Uremic Patients

作　　者：封建华[1] 张明[2] 

机构地区：[1]江苏大学附属昆山第一人民医院肾内科,江苏昆山215300 [2]江苏大学附属昆山第一人民医院消化科,江苏昆山215300

出　　处：《中国临床医学》2008年第6期858-859,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:研究尿毒症患者上消化道黏膜病变胃镜下特点,分析其与临床症状和透析的关系。方法:对46例尿毒症患者的胃镜检查结果和临床资料进行回顾分析。结果:所有患者均有不同程度的上消化道粘膜损伤,以慢性浅表性胃炎(52.2%)、糜烂出血性胃炎(23.9%)和消化性溃疡(15.2%)多见,透析治疗组糜烂出血性胃炎发生率较未透析治疗组高(P<0.05),其余各种病变的发生率两组无明显统计学差异。结论:上消化道病变在尿毒症患者中发病率高,透析治疗对上消化道黏膜病变无改善。Objective：To investigate the endoscopic features of upper gastrointestinal mucosa lesions of uremic patients and to analyse the relationship among mucosa lesions, clinical symptoms and dialysis. Methods：The clinical data of 46 cases of uremic patients with upper gastrointestinal symptoms accepted gastroscopy from December 2004 to December 2007 were analysed retrospectively. Results：All patients had different degrees of upper gastrointestinal mucosa changes. The major types of mucosa lesions were chronic superficial gastritis （52.2%）, erosive gastritis （23.9%）, peptic ulcer （ 15.2% ）, and so on. The incidence of erosive gastritis in dialysis group was higher than conservative therapy group （P〈0.05）. Other performance in gastroscopy had no significant difference between the two groups. Conclusion： The incidence of upper gastrointestinal mucosa lesions of uremic patients was high, and the dialysis treatment has no significant effect to the upper gastrointestinal mucosa lesions.

关 键 词：尿毒症 内镜 透析 

分 类 号：R692.5[医药卫生—泌尿科学]