贲门炎诊断及常见病因分析  

Diagnosis and Analysis of Common Causes of Cardiac Inflammation

作　　者：侯拂晓 HOU Fu-xiao(Department of Internal Medicine,Wuhan University Hospital,Wuhan 430060,Hubei,China)

机构地区：[1]武汉大学医院内科,湖北武汉430060

出　　处：《医学信息》2018年第15期181-182,共2页Journal of Medical Information

摘　　要：目的探讨胃贲门部炎症内镜下病理特征并分析常见病因。方法回顾性分析我院2016年2月~2018年2月贲门炎患者内镜及病理资料106例,分析内镜下表现与病理结果,对贲门炎常见病因进行分析。结果胃镜下表现粘膜慢性炎78.13%,慢性炎伴上皮非典型增生21.88%,高于病理结果中贲门癌的39.02%,慢性炎症41.46%。35例贲门粘膜糜烂中,慢性炎症62.86%,贲门癌20.00%,慢性炎伴上皮非典型增生17.14%。贲门炎合并糜烂性食管炎51.85%,导致食管粘膜损伤的胃食管反流病60.18%。结论贲门炎充血水肿一般为慢性炎症,合并糜烂粗糙者一定要取活检;贲门炎多为胃食管反流引起。Objective To investigate the endoscopic pathological features of gastric cardia and its common etiology. Methods The endoscopic and pathological data of 106 cases patients with cardia from February 2016 to February 2018 were retrospectively analyzed.The endoscopic findings and pathological findings were analyzed to analyze the common causes of cardia. Results Gastric microscopic mucosal chronic inflammation was 78.13%,chronic inflammation with epithelial atypical hyperplasia was 21.88%,higher than pathological results,39.02% of gastric cardia cancer and 41.46% of chronic inflammation.Among 35 cases of gastric mucosal erosion, chronic inflammation was 62.86%,cardiac cancer was 20.00%,and chronic inflammation was associated with epithelial atypical hyperplasia 17.14%.Cardiac inflammation combined with erosive esophagitis 51.85%,causing esophageal mucosal injury of gastroesophageal reflux disease 60.18%.Conclusion Cardiac inflammation, congestion and edema is generally chronic inflammation,combined with rough erosion must take biopsy;cardia inflammation is mostly caused by gastroesophageal reflux.

关 键 词：贲门炎 胃食管反流 内镜诊断 病理诊断 

分 类 号：R573.7[医药卫生—消化系统]