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目的探讨胃憩室的临床特点。方法选取解放军总医院消化内镜中心2010年1月—2015年12月胃镜检查诊断为胃憩室患者,对其一般资料、特别是内镜下特点进行回顾性分析。结果胃憩室患者共54例,其中男33例(61.1%),女21例(38.9%),平均年龄(52.09±16.32)岁。腹痛、上腹部不适等为常见症状及就诊原因。憩室均为单发,其中胃底憩室46例(男30例,女16例),胃窦憩室8例(男3例,女5例),憩室大小(0.914 8±0.508 6)cm×(0.838 9±0.455 8)cm。常见伴发疾病有慢性胃炎、反流性食管炎、胃溃疡、胃息肉、贲门失弛缓等。结论胃憩室好发于40~60岁左右的中老年人,以胃底大弯侧最常见,多单发。多以腹痛、腹部不适等为临床症状,也可于查体或因合并其他疾病行胃镜检查时发现,胃镜是诊断胃憩室的有效方法。
Objective To investigate the clinical features of gastric diverticulum. Methods The patients with gastric diverticulum diagnosed by gastroscopy from January 2010 to December 2015 were selected from the digestive endoscopy center of General Hospital of People’s Liberation Army and retrospectively analyzed their general characteristics, especially endoscopic features. Results A total of 54 patients with gastric diverticulum, including 33 males (61.1%) and 21 females (38.9%), with an average age of (52.09 ± 16.32) years. Abdominal pain, abdominal discomfort and other common symptoms and treatment reasons. The diverticula were all single, including 46 cases of gastric diverticulum (30 males and 16 females), 8 cases of antrum diverticulum (3 males and 5 females), diverticulum size (0.914 8 ± 0.508 6) cm × 9 ± 0.455 8) cm. Common diseases associated with chronic gastritis, reflux esophagitis, gastric ulcer, gastric polyps, achalasia and so on. Conclusion Gastric diverticulum occurs in the middle-aged and elderly people aged 40 to 60 years old. More to abdominal pain, abdominal discomfort, such as clinical symptoms, but also in the examination or other diseases combined with gastroscopy found that endoscopy is an effective method of diagnosis of gastric diverticulum.