食管裂孔疝的单中心临床流行病学调查及分析  

Clinical epidemiology of hiatal hernia: retrospective investigation in a single endoscopy center

作　　者：苏剑东[1] 江堤[1] 杨巧玲[1] 廖秀敏[1] 刘玉杰[1] 

机构地区：[1]广东省东莞东华医院消化内科,广东东莞523110

出　　处：《中国内镜杂志》2015年第11期1182-1185,共4页China Journal of Endoscopy

摘　　要：目的 分析食管裂孔疝（HH）的临床流行病学特点。方法 调查2009年-2014年东莞地区某三甲医院单个内镜中心胃镜诊断食管裂孔疝患者,分析其检出率、性别、年龄分布、症状特点、分型、疝囊直径和伴发上消化道疾病等。结果 6年内接受上消化道内镜检查患者共71 413例。其中,发现HH 121例,总检出率为0.17%,男性检出率为0.23%（88/37 623）,女性检出率为0.10%,男女检出率比为2.3∶1;老中青检出率分别为41.33%、19.83%和38.84%,约为2∶1∶2（50∶24∶47）;92.56%（112/121）为I型;83.47%（101/121）为中疝囊（2~5 cm）;38.02%（46/121）合并反流性食管炎、3.31%（4/121）合并Barrett食管,28.93%（35/121）伴发胃十二指肠疾病。HH的主要症状是上腹不适、腹痛腹胀及反酸烧心。结论 HH是临床常见疾病,常有上消化道症状,且合并反流性食管炎比例高,值得引起高度重视。[ Objective ] To investigate the clinical epidemiological characteristics of hiatal hernia （HH）. [ Methods ] Clinical, endoscopic, and histologie data were reviewed for patients with a HH diagnosis between 2009 and 2014 in a large hospital of Dongguan area, Guangdong. The prevalence, gender, age distribution, symptoms, classification, diameter of hernia, and concomitant disease of upper digestive tract were evaluated. [ Results ] A total of 71413 patients underwent endoscopy during the past six years. 121 patients （0.17%） were diagnosed with HH, of 0.23% patients were males and 0.10% patients were women （the ratio of man and women： 2.3 ： 1）. The prevalence of HH was 41.32% in the elderly, 19.83% in middle-aged and 38.84% in youth, respectively. 92.56% （112/121） patients were classified as type I, and 83.47% （101/121） patients were categorized by size as moderate （2-5 cm）. There were 38.02% （46/121） patients in combination with reflux esophagitis, 3.31% （4/121） combined with Barrett＇s esophagus, and 28.93% （35/121） associated with gastroduodenal diseases. The main symptom of HH was epigastric discomfort, abdominal pain or distension, acid reflux, and heartburn. [ Conclusions]HH should be paid more attention, because it＇s a common disease with a high proportion of reflux esophagitisis.

关 键 词：食管裂孔疝 流行病学 胃食管反流病 胃镜 

分 类 号：R571[医药卫生—消化系统]