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该文分析了 4 72 92例患者在上消化道内镜检查中 ,发现急性食管粘膜损伤 12 6例 ,占同期内镜检查的0 .2 3 %。发病年龄以中、青年多见为 76.2 % ( 96/12 6) ,损伤部位多发生于食管中上段 ,占 90 .5 % ( 114 /12 6)。与食管钡餐检查进行比较 ,内镜确诊率和食管钡检率分别为 10 0 % ( 12 6/12 6) ,3 4.9% ( 15 /4 3 ) ,两者之间有显著性差异 (P <0 .0 1)。提示急性食管粘膜损伤内镜检查较食管钡检有明显优越性 ,应作为该病变诊断的首选方法。并就其内镜特征、临床表现、治疗以及愈后情况进行了分析探讨。
This study analyzed 4272 92 patients in the upper gastrointestinal endoscopy and found 12.6 cases of acute esophageal mucosal injury, accounting for the same period endoscopic examination of 0.23%. The age of onset was more common in middle-aged and younger patients, accounting for 76.2% (96/126). Most of the lesions occurred in the middle and upper esophagus, accounting for 90.5% (114/126). Compared with esophageal barium meal examination, the rate of endoscopy diagnosis and esophageal barium examination were 100% (12 6/12 6) and 34.9% (15/43), respectively, with significant difference (P < 0 .0 1). Tip acute esophageal mucosal injury endoscopic examination of barium than esophageal obvious advantages, should be used as the preferred method of diagnosis of the disease. And its endoscopic features, clinical manifestations, treatment and prognosis were analyzed.