食管和贲门部疾病的分布特点分析  

Distribution characteristics analysis on the lesions in esophagus and cardia

作　　者：王可 张碧文 沈中卫 WANG Ke;ZHANG Bi-wen;SHEN Zhong-wei(Division of Spleen and Stomach Diseases,No 2 Chinese Medicine Hospital,in Wuxi City,214121 Jiangsu,China)

机构地区：[1]无锡市第二中医医院脾胃病科,江苏无锡214121

出　　处：《临床消化病杂志》2023年第2期115-119,共5页Chinese Journal of Clinical Gastroenterology

摘　　要：[目的]分析食管和贲门部疾病的特点,为早期防治食管和贲门部恶性肿瘤提供临床依据。[方法]回顾性分析9318例受检者的临床资料,比较不同疾病的年龄、性别差异及内镜检出率差异。[结果]9318例中反流性食管炎1340例(14.4%)、贲门炎711例(7.6%)、食管裂孔疝87例(0.9%)、食管静脉瘤62例(0.7%)、真菌性食管炎47例(0.6%)、食管癌43例(0.5%)、食管静脉曲张41例(0.4%)、食管胃黏膜异位35例(0.4%)、贲门黏膜增生34例(0.4%)、胃底贲门癌33例(0.4%)、贲门息肉26例(0.3%)、食管黏膜下隆起24例(0.3%)、Barrett食管19例(0.2%)。反流性食管炎、贲门炎、食管癌、胃底贲门癌男性多于女性,差异有统计学意义(P<0.05)。食管癌、食管、贲门癌以鳞状细胞癌为主,胃底贲门癌、贲门癌以腺癌为主。贲门炎、贲门黏膜增生、贲门息肉、食管黏膜增生的病理显示,属于癌前病变的占比分别为13.5%、52.9%、84.6%、85.7%。[结论]反流性食管炎、贲门炎、食管癌是常见疾病,癌前疾病以食管黏膜增生、贲门黏膜增生、贲门息肉常见。[Objective]to analyze the characteristics of esophageal andcardia diseases and provide a clinical basis for the early prevention and treatment of malignant tumors of the esophagus and cardia.[Methods]Retrospectively analyzed the clinical data of 9318 subjects in our hospital,and compared the age gender differences and endoscopic detection rates of different diseases.[Results]in the 9318 cases,1340 cases(14.4%)were reflux esophagitis,711 cases(7.6%)were cardiac inflammation,87 cases(0.9%)were hiatal hernia,62 cases(0.7%)were esophageal phlebangioma,47 cases(0.6%)were fungal esophagitis,43 cases(0.5%)were esophageal carcinoma,41 cases(0.4%)were esophageal varices,35(cases 0.4%)were ectopic esophagogastric mucosa,34 cases(0.4%)were gastric cardia hyperplasia.There were 33 cases(0.4%)of gastric cardia carcinoma,26 cases(0.3%)of cardia polyps,24 cases(0.3%)of esophageal submucosal eminence and 19 cases(0.2%)of Barrett's esophagus.Some esophagocardiac diseases are most commonly detected in the age group of 50 to 69 years.There were more male than female with reflux esophagitis,cardiac inflammation,esophageal carcinoma,gastric cardia carcinoma,with significant differences(P<0.05).Esophageal carcinoma and esophageal and cardiac carcinoma were predominantly squamous cell carcinomas,while gastric cardia carcinoma and cardiac carcinoma were predominantly adenocarcinomas.The pathology of diseases such as cardiac inflammation,gastric cardia hyperplasia,cardia polyps,and Esophageal mucosal hyperplasia showed that the percentages of patients belonging to the precancerous category were 13.5%,52.9%,84.6%,85.7%,respectively.[Conclusion]Reflux esophagitis,cardiac inflammation,esophageal carcinoma are common diseases.Esophageal mucosal hyperplasia,gastric cardia hyperplasia,cardia polyps are common precancerous diseases.

关 键 词：食管 贲门 胃镜检查 回顾性研究 

分 类 号：R322.4[医药卫生—人体解剖和组织胚胎学]