电子胃镜诊断食管憩室临床特点分析  

Clinical characteristics of esophagus diverticulum diagnosed by electronic gastroscopy

作　　者：田永刚 韩丽伟 曹贞子[3] 杨金芳 杨珍 牛敏 张雪[4] 张玲[4] 游颜杰 白飞虎[3] Tian Yonggang;Han Liwei;Cao zhenzi;Yang Jinfang;Yang Zhen;Niu Min;Zhang Xue;Zhang Ling;You Yanjie;Bai Feihu(Ningxia Medical University,Yinchuan,750004,China;Operating room,Ningxia Hui Autonomous Region People′s Hospital,Yinchuan,750021,China;Department of Gastroenterology,Ningxia Hui Autonomous Region People′s Hospital,Yinchuan,750021,China;Northwest Minzu University,Lanzhou,730030,China)

机构地区：[1]宁夏医科大学,银川750004 [2]宁夏回族自治区人民医院手术室,银川750021 [3]宁夏回族自治区人民医院消化内科,银川750021 [4]西北民族大学,兰州730030

出　　处：《中华消化病与影像杂志（电子版）》2019年第2期72-74,共3页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

基　　金：国家自然科学基金(81760440,81860426);中央引导地方科技发展专项(YDZX20176400004650);宁夏消化疾病临床医学研究中心(2018CXPT0075);区域合作幽门螺杆菌个性化诊疗及其感染、耐药与分子流行病学调查研究(2018YBZD1554)

摘　　要：目的,探究电子胃镜对食管憩室的检出情况及临床特点。方法,回顾性分析2012年1月至2018年10月在宁夏回族自治区人民医院消化内镜中心行电子胃镜诊断的155例食管憩室患者的资料,包括患者年龄、性别、憩室部位、数量、伴发症。结果,在行电子胃镜检查48850例患者中,食管憩室患病率及检出率均为0.3%,其中单发憩室占97.45%,多发憩室占2.55%,其中无症状憩室占比达89.03%;在食管憩室的伴发病,慢性胃炎和消化性溃疡以61~70岁最常见,发病率依次为慢性胃炎(94.2%)、消化性溃疡(9.7%),反流性食管炎发病率仅为7.1%;在不同部位食管憩室伴胃食管反流病中,膈上部憩室伴发胃食管反流病的发生率最高达45.45%(5/11),其次分别为食管中段36.36%(4/11)、咽食管部18.18%(2/11),且不同部位食管憩室与胃食管反流病差异有统计学意义(χ^2=47.50,P<0.05);胃镜下表现为真菌性食管炎4例(2.6%),早期中段食管癌1例(0.6%)。结论,电子胃镜对食管憩室有诊断价值,值得临床医师采用。Objective To explore the detection and clinical characteristics of esophagus diverticulum by electronic gastroscopy. Methods The data of 155 patients with esophageal diverticulum diagnosed by electronic gastroscopy from January 2012 to October 2018 in Digestive Endoscopy Center of Ningxia Hui Autonomous Region People′s Hospital were retrospectively analyzed,including age,sex,diverticulum location,number and complications. Results In the 48 850 patients undergoing electronic gastroscopy,both the prevalence and detection rate of esophageal diverticulum were 0.3%,of which 97.45% were single diverticulum,2.55% were multiple diverticulum,and the proportion of asymptomatic diverticulum was 89.03%.In the incidence of esophageal diverticulum,chronic gastritis and peptic ulcer were most common in 61 to 70 years old,and the incidence rates were 94.2% and 9.7% respectively. The incidence rate of reflux esophagitis was only 7.1%.In different parts of the esophageal diverticulum with gastroesophageal reflux disease,the incidence rate of gastroesophageal reflux disease in the upper diaphragmatic diverticulum was up to 45.45%(5/11),followed by the middle esophagus 36.36%(4/11)and pharyngoesophagus 18.18%(2/11),with statistically significant difference(χ^2=47.50, P <0.05).gastroscopic presentation of fungal esophagitis was in 4 cases(2.6%)and early middle esophageal cancer in 1 case(0.6%). Conclusion Electronic gastroscopy has diagnostic value for esophageal diverticulum,and it is worthy of clinical application.

关 键 词：食管憩室 电子胃镜 特点 

分 类 号：R571[医药卫生—消化系统]