洛阳地区Barrett食管及反流性食管炎的发病情况和内镜临床特点  

Incidence and Endoscopic Clinical Characteristics of Barrett′s Esophagus and Reflux Esophagitis in Luoyang Area

作　　者：尚玛莉 徐丽苹 吴秀丽 杨轲勇 刘进进 王真真 于会生 SHANG Mali;XU Liping;WU Xiuli;YANG Keyong;LIU Jinjin;WANG Zhenzhen;YU Huisheng(Department of Gastroenterology,the First People's Hospital of Luoyang,Luoyang,China,471000)

机构地区：[1]洛阳市第一人民医院消化内科,河南洛阳471000

出　　处：《食管疾病》2024年第4期279-282,287,共5页Journal of Esophageal Diseases

基　　金：河南省医学科技攻关计划联合共建项目(20231749);消化道早癌医师共同成长计划(GTCZ-2021-HN-41-0001);洛阳市医疗卫生指导性科技计划项目(2022033Y)。

摘　　要：目的统计分析洛阳地区Barrett食管及反流性食管炎的发病情况和内镜特点。方法收集2022年1月至2023年6月在洛阳市第一人民医院内镜中心进行胃镜检查的患者,统计分析Barrett食管及反流性食管炎患者的年龄、性别、内镜下分型、就诊时主要症状、幽门螺杆菌感染情况等临床资料。结果洛阳地区Barrett食管的发病率1.14%,反流性食管炎的发病率1.87%;Barrett食管和反流性食管炎在性别比例及年龄(≥50岁)分布方面存在差异;Barrett食管患者中大部分为短节段Barrett食管,形态分型方面最多见的是混合型。结论洛阳地区Barrett食管及反流性食管炎的发病情况和内镜临床各有特点,可供门诊胃镜检查及消化道疾病诊治提供参考。Objective Statistical analysis of the incidence and endoscopic clinical characteristics of Barrett's esophagus and reflux esophagitis in Luoyang area.Methods The clinical data of Barrett's esophagus and reflux esophagitis patients were analyzed,who underwent gastroscopy at our hospital from January 2022 to June 2023,including age,gender,endoscopic classification,main symptoms at diagnosis,and Helicobacter pylori infection.Results The incidence rate of Barrett's esophagus in Luoyang is 1.14%,and the incidence rate of reflux esophagitis is 1.87%.There are differences in gender ratio and age distribution(≥50 years old)between Barrett′s esophagus and reflux esophagitis.The majority of Barrett′s esophagus patients are short segment Barrett′s esophagus,and the most common morphological classification is mixed type.Conclusion Understanding the incidence and endoscopic clinical characteristics of Barrett′s esophagus and reflux esophagitis in Luoyang area can provide reference for outpatient gastroscopy and diagnosis and treatment of digestive tract diseases.

关 键 词：BARRETT食管 反流性食管炎 胃镜 幽门螺杆菌 

分 类 号：R571[医药卫生—消化系统]