消化性溃疡8592例内镜分析  

Endoscopic analysis of 8592 cases of peptic ulcer

作　　者：廖素环[1] 李啸峰[1] 江堤[2] 路静[1] 邓惠钊 

机构地区：[1]中山大学附属第五医院,珠海519000 [2]东莞东华医院,东莞523000

出　　处：《广州医药》2016年第2期52-55,共4页Guangzhou Medical Journal

摘　　要：目的了解消化性溃疡发病特点,分析溃疡在秋冬和冬春之交发病情况的差异。方法对我院10年胃镜检查结果进行统计分析。结果共检出消化性溃疡8592例,其中十二指肠溃疡6875例,胃溃疡1121例,复合性溃疡596例,三者的检出率分别为12.72%、2.07%和1.10%,十二指肠溃疡明显多于胃溃疡,两者之比为6.13∶1。季节上,十二指肠溃疡与胃溃疡的检出率在秋冬之交高于春冬之交,十二指肠溃疡的检出率在春冬季高于夏秋季,复合性溃疡在冬季高发,秋季最低。胃溃疡好发于胃窦,其次是胃角;十二指肠球部溃疡的好发部位依次为前壁、大弯、小弯、后壁。十二指肠溃疡、胃溃疡和复合性溃疡的高发年龄段为30~39岁、40~49岁和40~59岁。结论十二指肠溃疡明显多于胃溃疡,十二指肠溃疡与胃溃疡的检出率在秋冬之交高于春冬之交。消化性溃疡的发病在性别、年龄、季节等方面上具有明显差异。Objective To explore the features of peptic ulcer disease,and analyze difference of incidence in difference months. Methods Gastroscopy results were collected and analyzed in our hospital. Results A total of 8592 cases of peptic ulcer were collected,including 6875 cases of duodenal ulcer,1121 cases of gastric ulcer and 596 cases of compound ulcer,the detection rate were 12. 72%,2. 07% and 1. 10% respectively. Duodenal ulcer presented significantly more than gastric ulcer,the ratio was 6. 13∶ 1. As to season changed,the detection rate of duodenal ulcer and gastric ulcer in the months when autumn turns winter were higher than in the months when winter turns spring. The detection rate of duodenal ulcers in winter and spring were higher than summer and autumn. Compound ulcer had highest incidence in winter and lowest in autumn. As to predilection site,gastric ulcer was mainly in gastric antrum,followed by gastric angle,duodenal ulcer was mainly in anterior wall. The peak age of duodenal ulcer,gastric ulcer and compound ulcer were 30 ~ 39,40 ~ 49,and 40 ~ 59 years old. Conclusion Duodenal ulcer was remarked more than gastric ulcer. The detection rate of duodenal ulcer and gastric ulcer in the months when autumn turns winter was high than in the months when winter turns spring. The incidence of peptic ulcer has obvious differences in gender,age,season,etc.

关 键 词：消化性溃疡 检出率 流行病学 季节 

分 类 号：R573.1[医药卫生—消化系统]