食管胃黏膜异位103例临床分析  

Clinical analysis of esophageal ectopic gastric mucosa in 103 cases

作　　者：刘宇[1] 陈东风[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所消化科,重庆400042

出　　处：《现代医药卫生》2010年第21期3203-3204,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨食管胃黏膜异位(Heterotopic Gastric Mucosa,HGM)的发病特点、镜下表现及治疗效果。方法:选择2006年2月～2009年1月经内镜检查及病理组织学检查诊断的食管胃黏膜异位患者103例,经内镜下氩离子凝固术治疗。所有病例3～6个月复查胃镜1次。结果:病变部位距门齿14～18cm86例,距门齿28～30cm17例。经氩离子凝固术治疗后3～6个月后复发的8例。结论:HGM发病以中年男性多见,好发于上段食管,APC治疗复发率低。Esophageal heterotopic gastric mucosa（HGM）is the congenital residual lesions formed by squamous epithelium incompletely replacing columnar epithelium in the period of embryonic development.The incidence rate is 0.1%-10%.Most patients have no clinical symptoms,but can also have substernal burning sensation,difficult swallowing or pain,throat discomfort and other non-specific symptoms,which can lead to the complications such as ulceration and perforation.Its diagnosis relies on endoscopic examination and biopsy.Treatment includes APC,follow-up,symptomatic therapy,mucosal resection,surgical,etc.The clinical statistical data on HGM are analyzed for further understanding.

关 键 词：食管 异位胃黏膜 氩离子治疗 

分 类 号：R5[医药卫生—内科学]