摘要
目的为了解老年人反流性食管炎的特点，对反流性食管炎患者的内镜表现与特点进行分析。方法将本院１０年来６８１例反流性食管炎患者分为老年组和非老年组，对两组的患病率、病变程度、病理结果、并存疾病进行了比较。结果老年组患病率２３８％，非老年组０８３％（Ｐ＜０００１）；老年组病变程度较非老年组严重（Ｐ＜００５）；病理活检，非老年组中仅发现２例轻度不典型增生，而老年组中共发现９例不同程度的不典型增生及１例癌变；老年患者并存疾病以食管裂孔疝多见。结论反流性食管炎是老年人的常见病，内镜检查对该病的诊治具有重要价值。
Objective To find out the characteristics of reflux esophagitis in elderly from endoscopic manifestations. Methods Six hundred and eighty one patients suffering from refl uxesophagitis were divided into elderly and non elderly groups.The incidences,accompanied illness,pathological degrees and changes of the two groups were analysed. Results Theincidence of the disease in elderly was2 38%,and0 83%innon elderly(P<0 001).The pathologicchanges in elderly were more serious than in non elderly.The biopsies showed2cases of mild hyperplasia in non elderl y,9cases of hyperplasia and1case of cancer in elderly.The common accompanied disease in elderly was hiatus hernia. Conclusions Thereflux esophagitis is common in elderly.The endoscopic examina tion is important in diagnosis and treatment of the disease.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
1997年第3期138-140,共3页
Chinese Journal of Geriatrics
