摘要
目的观察比较有症状和无症状Barrett食管患者胃镜及病理表现。方法选取笔者所在医院诊断为Barrett食管的患者80例,根据有无临床表现将患者分为两组,每组40例,所有患者均经胃镜检查并活检,观察两组病变形态,长度,增生程度。结果Ⅰ组(无症状组)全周型比例(20%)较Ⅱ组(有症状组)(10%)显著增多(P<0.05);Ⅰ组短节段型(27.5%)较Ⅱ组(55.0%)显著减少(P<0.05);Ⅰ组超短节段型(62.5%)较Ⅱ组(32.5%)显著增多(P<0.05);Ⅰ组与Ⅱ组比较中、重度增生(10%,25%)显著减少,轻度增生(90%,75%)显著增多。结论有症状Barrett食管患者胃镜表现及病理检查较无症状患者严重,对有症状Barrett食管患者检查、诊断应更加重视,以明确诊断,指导治疗和随访。
Objective To study gastroscope and pathology of Barrett＇s esophagus according to symptom. Methods 80 patients who suffered Barrett＇s esophagus were enrolled in our study.They were all received examination by gastroseope and pathology. The level of pathology and length of change under gastroscope was recorded. Results There were more symptomatic patients suffered peripheral type（20%）and ultrashort gastroscope changes（62.5%）than the patients had no symptom,these difference was significantly（P 〈 0.05）.The patients had no symptom who got light hyperplasia（90%） were significantly higher than the control group（P 〈 0.05）. Conclusion Symptomatic patients who had Barrett＇s esophagus got severe show under gastroscope and pathology.In order to confirm the diagnosis, treatment and follow-up, We should pay more attention to Symptomatic patients.
出处
《中国医药科学》
2012年第9期127-128,共2页
China Medicine And Pharmacy
