胃镜诊断35例胃憩室特点分析  

Analysis of endoscopic features of gastric diverticula in 35 cases

作　　者：南琼[1] 代维[1] 杨刚[1] 李晓燕[1] 张磊[1] 杨宇梅[1] 蒋海燕[1] 

机构地区：[1]昆明医学院第一附属医院消化科,云南昆明650032

出　　处：《胃肠病学和肝病学杂志》2009年第12期1128-1129,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨胃憩室胃镜下表现和特点。方法回顾分析35例经胃镜确诊的胃憩室患者胃镜下表现。结果胃镜检查确诊胃憩室35例,检出率0.058%。男女性别构成差异无统计学意义(P>0.05)。憩室位于胃底和胃窦者分别占48.57%和42.86%,明显多于8.57%的胃体憩室。胃体憩室直径显著大于胃窦(P<0.01),胃体憩室患者年龄也显著大于胃窦憩室患者(P<0.05)。胃底憩室多见于大弯和后壁,胃窦憩室多见于大弯侧,胃体憩室多见于前、后壁。结论胃憩室是一种罕见病,多见于胃底和胃窦,男女检出率相当,并发症少见。Objective To discuss the endoscopic performance and features of gastric diverticula. Methods Endoscopic performance of 35 patients with gastric diverticula was analyzed retrospectively. Results Thirty-five cases of gastric diverticula were diagnosed by gastroseopy. The detection rate was 0. 058%. There was no significant difference in gender composition （P 〉 0.05 ）. Diverticula located in fundus and antrum were 48.57% and 42.86% respectively, which was significantly higher than diverticula in the body of stomach （8.57%）. Diameter of diverticula was significantly larger in gastric body than that in antrum （P 〈 0.01 ）. And the ages of patients with diverticula in the stomach body were significantly higher than patients with diverticula in the stomach antrum （ P 〈 0.05 ）. Diverticula in fundus was mostly found in greater curvature and posterior wall. The antral diverticula was mostly found in the greater curvature, and the diverticula of gastric body was mostly found in the anterior and posterior wall of stomach. Conclusion Gastric diverticula is a rare disease. It is commonly found in the fundus and antrum. The detection rates of men and women are close with rare complications.

关 键 词：胃憩室病 胃镜检查 回顾性研究 

分 类 号：R573[医药卫生—消化系统]