摘要
目的探讨宁夏地区BE的内镜检查特点和临床特征。方法依据2005年重庆BE诊断标准和1994年洛杉矶反流性食管炎(RE)诊断标准诊断BE和RE,分析BE和RE患者的年龄、性别、症状、内镜和病理特征的异同及其与RE的关系。结果BE检出率为2.78%,男女之比为1.42:1,40岁以上占73.86%。BE有典型反流症状比RE显著为少(P<0.05)。BE常见主诉为上腹痛或不适。SSBE较LSBE更多;岛型为主。食管病理活检为肠化型者占20.18%,异型增生者占11.01%。BE伴食管炎症程度为A级+B级的占80.00%。BE和RE病理活检均未见食管癌。结论宁夏地区BE检出率较高,40岁以上检出率明显增多。多为SSBE,以岛型为主。BE患者的临床症状与其胃镜下的食管黏膜改变并不完全一致。BE可能是一种独立的疾病。
Objective To investigate the detection rate, clinical and endoscopic characteristics of BE. Methods The age, sex, symptom and relationship between BE and RE were analyzed. BE and RE were diagnosed according to domestic new standard and Los Angeles standard by endoscopy and histology. Results BE was 2.78% of the total endoscopy number, male vs. female was 1.42： 1. 73.86% of BE was over 40 years, BE with typical reflux symptoms was significantly less than those of RE（ P 〈0.05）. Frequent clinical chief complaints were upper abdominal pain or indisposition. SSBE more than LSBE; the most of the typing was island. Intestinal metaplasia was detected in 20.18% of BE and dysplasia in 11. O1%. The most of BE with RE were mild inflammation. Esophageal carcinoma were not detected in BE and RE. Conclusion The detection rate of BE is high in Ningxia, the most of BE are SSBE, over 40 years old, island. Clinical symptom of BE is not complete correlation with mucosa pathological changes of the esophagus.
出处
《宁夏医学杂志》
CAS
2008年第3期202-204,共3页
Ningxia Medical Journal
