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本文报导我院纤维胃镜检查2328例中食管、贲门病变者共243例,占10.4%243例,食管、贲门病变检查结果以肿瘤为多见(52.3%),炎症次之(40.7%)其他少见(7%).本组肿瘤患者127例中食管癌36例、贲门癌90例、食管平滑肌肉瘤1例,以贲门癌多见.炎症及溃疡患者99例中食管炎68例,贲门炎25例,食管及贲门溃疡4例,化学性食管炎所致疤痕狭窄2例,以食管炎居多,其他有食管静脉曲张5例,食管憩室3例,食管及贲门息肉共5例,食管术后狭窄2例,食管裂孔疝1例,食管、贲门粘膜撕裂症1例.本文指出在目前纤维食管镜还未普及时,应用前视、斜视式等纤维胃镜替代食管镜进行检查,不仅对食管、贲门肿瘤的诊断及鉴别诊断有一定价值,而且对早期食管癌、食管罕见疾病及慢性食管、贲门炎的研究等均显示巨大的优越性.笔者建议今后应广泛开展对食管病变的纤维内窥镜检查,以便深入研究及预防食管疾病.
In this paper, 243 cases of esophageal and cardia lesions were found in 2328 cases of fibrous gastroscopy in our hospital, accounting for 10.4% of 243 cases. The results of esophageal and cardia examination were more common (52.3%), followed by inflammation (40.7%), (7%) .In this group of 127 patients with esophageal cancer in 36 cases, 90 cases of cardia cancer, esophageal leiomyosarcoma in 1 case, with cardia cancer more common in inflammation and ulcer in 99 cases of esophagitis in 68 cases, cardia in 25 cases , Esophageal and cardial ulcer in 4 cases, esophagitis caused by scar stenosis in 2 cases, mostly esophagitis, other esophageal varices in 5 cases, esophageal diverticulum in 3 cases, 5 cases of esophageal and cardial polyps, esophageal stricture 2 Cases of hiatal hernia in 1 case, esophageal and cardial mucosal tears in 1 case.This article pointed out that the current fiber esophagoscopy is not yet universal, the use of anterior strabismus-style fiberoscopy instead of esophageal mirror examination, not only for the esophagus, cardia Tumor diagnosis and differential diagnosis of a certain value, but also for early esophageal cancer, esophageal rare diseases and chronic esophageal, cardia inflammation studies have shown tremendous superiority.I suggested that in the future should be widely carried out on esophageal fibroelastosis , So that in-depth study and prevention Vascular disease.