镜检致食管贲门黏膜撕裂综合征的病因分析及治疗方法  

Etiological Analysis and Therapy of Mallory-Weiss Syndrome Caused by Endoscopic Examination

作　　者：张帆[1] 聂静[1] 高燕云[1] 罗志刚[1] 张渊智[1] 

机构地区：[1]昆明市第一人民医院消化内科,云南昆明650034

出　　处：《中国医药指南》2013年第3期25-26,共2页Guide of China Medicine

摘　　要：目的探讨镜检所致食管贲门黏膜撕裂综合征(Mallory-Weiss综合征)常见病因及治疗方法。方法对2003年9月至2012年6月昆明市第一人民医院内镜检查所致食管贲门黏膜撕裂32例病例资料进行回顾性分析。结果 32例患出现镜检所致食管贲门黏膜撕裂,新手操作占37.50%(12/32),并反流性食道炎占21.88%(7/32),并食道裂孔疝25.00%(8/32),老年人、体形消瘦占15.62%(5/32),32例均行镜下治疗,外科手术1例,死亡1例,病死率为3.13%(1/32)。结论镜检所致食管贲门黏膜撕裂虽发生率低,但病情轻重不一,重者致死,应引起内镜医师重视,镜下治疗是主要的治疗方法。Objective To explore the common causes and thrapy of Mallory-Weiss Syndrome（MWS）.Methods We retrospectively analyzed the clinical data of 32 cases of MWS caused by Endoscopic Examination in our department from September,2003 to June,2012. Results Among the 32 cases,novice operators account for 37.50%（12/32）,reflux esophagitis cases account for 21.88%（7/32）,esophageal hiatal hernia cases account for 25.00%（8/32）, old people＇ s emaciation cases account for 15.62%（5/32）.All the cases underwent endoscopic therapy, with 1 ease by surgery and 1 case of death,and the death rate is 3.13%（1/32）.Conclusion Incidence of MWS caused by Endoscopic Examination islow, and the severity is different.Some serious cases may die, which should arouse the attention of endoscopic doctors. The main measure should be endoscopic therapy.

关 键 词：食管贲门 黏膜撕裂综合征 内窥镜 

分 类 号：R573.7[医药卫生—消化系统]