33例Mallory-Weiss综合征临床及内镜特征分析  

Mallory-Weiss syndrome: clinical and endoscopic characteristics analysis of 33 cases

作　　者：印安宁[1] 江应安[1] 刘军[1] 罗和生[1] 

机构地区：[1]武汉大学人民医院消化内科,湖北武汉430060

出　　处：《胃肠病学和肝病学杂志》2015年第3期335-337,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的 探讨食管-贲门黏膜撕裂综合征（Mallory-Weiss syndrome,MWS）的临床特点、内镜表现及治疗措施.方法 回顾性分析2007年9月-2013年8月在武汉大学人民医院消化内镜中心诊断为MWS患者的临床资料.结果 MWS好发年龄为20～39岁,男性多于女性.酗酒导致呕吐是其发病的主要诱因.内镜下均为线状纵行撕裂,以贲门撕裂多见.撕裂表面状态与胃镜检查时间有相关性（P＜0.05）,与患者年龄无相关性（P＞0.05）.MWS患者保守治疗和内镜治疗总体有效率达93.94％（31/33）.结论 MWS是上消化道出血的少见病因,保守治疗无效者可行内镜治疗.Objective To investigate the clinical characteristic, gastroscopic manifestation and treatment of Mallory- Weiss syndrome （MWS）. Methods The clinical data of MWS patients admitted to GI endoscopy center of Renmin Hospital of Wuhan University from Sep. 2007 to Aug. 2013 were retrospectively analyzed. Results MWS was prone to 20 to 36 years old, and male was more than female. Vomiting after alcohol drinking was the main etiology. Under gas- troscope, all tears were longitudinal and common in cardia. The manifestation was correlated with the intervals from pathogenesis to gastroscopic examination （P 〈 0.05） , but not associated with patients＇ age （P 〉 0.05 ）. Overall effec- tive rate of MWS patients with conservative treatment and endoscopic treatment was 93.94%. Conclusion MWS is rare etiology of upper gastrointestinal bleeding. Endoscopic endoscopic treatment can be performed when conservative treat- ment was no effect.

关 键 词：食管-贲门黏膜撕裂综合征 胃镜 治疗 

分 类 号：R571[医药卫生—消化系统]