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目的 :分析食管疾病的种类和内镜下表现。方法 :1 998年 1月～ 2 0 0 0年 1 2月进行内镜诊治的患者 52 6例 ,5例异物摄入紧急内镜诊治 ,52 1例常规内镜诊治 ,1 1 8例患者取粘膜活检进行病理学检查。结果 :5例异物摄入患者紧急内镜检查发现食管异物 ,其中 3例顺利取出。 52 1例分别诊断为 :反流性食管炎 (Refluxesophagitis ,RE) 384例 (73 .0 0 % ) ,食管息肉 38例 (7.2 2 % ) ,食管裂孔疝 2 8例 (5 .32 % ) ,食管癌 2 2例(4.1 8% ) ,食管静脉曲张 1 3例 (2 .47% ) ,食管隆起性病变 1 3例 (2 .47% ) ,食管静脉瘤 1 2例 (2 .2 9% ) ,食管憩室 6例 (1 .1 5 % ) ,Barrett食管 5例 (0 .95 % ) ,及食管异物 5例 (0 .95 % )。结论 :RE在食物道疾病中最常见 ,息肉次之 ,内镜检查诊治食管疾病具有重要的意义
Objective: To analyze the types of esophageal diseases and endoscopic findings. Methods: From January 1998 to January 2010, 526 patients underwent endoscopic diagnosis and treatment. Five patients were admitted to the hospital for emergency endoscopy and 521 patients received routine endoscopic diagnosis and treatment while 118 patients Mucosal biopsy for pathological examination. Results: Esophageal foreign body was found by emergency endoscopy in 5 cases of foreign body ingestion, of which 3 cases were removed smoothly. 52 cases were diagnosed as Refluxesophagitis (RE) 384 cases (73.0%), esophageal polyps 38 cases (7.2%), esophageal hiatal hernia 28 cases (5.32%), Esophageal cancer in 22 cases (4.1%), esophageal varices in 13 cases (2.47%), esophageal lesions in 13 cases (2.47%), esophageal varices in 12 cases (2.29% ), Esophageal diverticulum in 6 cases (11.5%), Barrett’s esophagus in 5 cases (0.95%), and esophageal foreign body in 5 cases (0.95%). Conclusion: RE is the most common food disease, followed by polyps, endoscopic diagnosis and treatment of esophageal disease is of great significance