胃憩室28例的发病特征及临床特点  

Analysis of clinical characteristics of gastric diverticulum in 28 cases

作　　者：孙秀静[1] 王燕斌[1] 崔培林[1] 徐有青[1] 

机构地区：[1]首都医科大学附属北京天坛医院消化内科,北京100050

出　　处：《临床和实验医学杂志》2015年第5期383-386,共4页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨胃憩室的发病特征及临床特点。方法回顾性分析近10年经X线消化道造影和内镜诊断的胃憩室患者的临床资料。结果 28例患者中男性12例(占42.9%),女性16例(占57.1%),男女比例为1∶1.3。平均年龄(53.25±14.04)岁,其中50岁以上者占60.7%,50岁及以下者占39.3%。憩室部位胃底21例(占75.0%),尤其是胃底大弯侧12例(占42.9%)。憩室的平均大小为(1.20±0.64)cm(0.88±0.58)cm,所有憩室均为单发。伴发病中以糜烂性胃炎最多见(占28.57%),其次为胃息肉(占21.43%)。腹胀、腹痛、恶心、呕吐为常见临床表现。结论胃憩室好发于中老年人,胃底为好发部位,单发常见,容易伴发糜烂性胃炎及胃息肉。X线消化道造影及胃镜是诊断本病的较佳方法。Objective To investigate the disease characteristics and clinical features of gastric diverticulum（ GD）. Methods Twenty-eight GD patients diagnosed by X-ray or endoscope were studied retrospectively. Results Among the 28 patients,12 were males（42. 9%）,18 were females（57. 1%）,the male-to-female ratio was 1： 1. 3. The mean age was 53. 25 ± 14. 04 years,and age above 50 accounted for 60. 7%. The fundus was the most common location（75. 0%）,especially the greater curvature side（42. 9%）. The average size of the diverticula was 1. 20 ± 0. 64 cm 0. 88 ± 0. 58 cm,and all of the diverticula were single. The primary accompanying disease was erosive gastritis,followed by polyps. Abdominal distension,abdominal pain,nausea and vomiting were common clinical manifestation. Conclusion GD is commonly detected in middle-aged and elderly patients,and the disease is more likely to locate in fundus and most are single. The erosive gastritis and polyps are most frequent accompanying diseases. X-ray and endoscopy have good values in diagnosing GD.

关 键 词：胃憩室 X线 胃镜 

分 类 号：R573[医药卫生—消化系统]