食管裂孔疝的内镜诊断  

Endoscopy in the diagnosis of hiatus hernia

作　　者：马君红[1] 齐中普[1] 

机构地区：[1]绍兴文理学院附属医院消化科,浙江绍兴312000

出　　处：《中国内镜杂志》2011年第9期963-965,共3页China Journal of Endoscopy

摘　　要：目的探讨内镜在食管裂孔疝诊断中的应用价值。方法对160例经内镜诊断的食管裂孔疝患者的镜下特征进行分析。结果食管裂孔疝内镜下的主要特征是贲门口明显扩大、松弛呈开放状140例(87.5%),胃底黏膜松弛,His角变钝或消失115例(71.9%),齿状线上移明显138例(86.3%),齿状线至食管裂孔压迹的距离为2.5～9.5cm,根据食管下端粘膜的严重程度不同分为轻度58例,中度60例,重度11例。结论内镜检查作为食管裂孔疝的诊断方法,具有直观、可靠、方便的价值特点。[Objective] To explore the application and value of endoscopy in diagnosing hiatus hernia（HH）.[Methods] The endoscopic characters of HH of 160 patients were analyzed.[Results] The major endoscopic features of HH were described as following：the cardiac orifice enlarged and loosed obviously（140 cases,87.5%）;mucosa of fundus gastricus loosed and the angle of His was blunt or even disappeared（115 cases,71.9%）;the GE conjunction moved up apparently（138 cases,86.3%）;the distance between GE conjunction and hiatal hernia of diaphragm was 2.5～9.5 cm.According to the condition of esophageal mucosa,58 cases mild HH,60 cases moderate HH and 11 cases severe HH.[Conclusions] It is clear,reliable,convenient and valuable to diagnose HH with endoscope.

关 键 词：食管裂孔疝 内镜 诊断 

分 类 号：R655.4[医药卫生—外科学]