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引起食管溃疡的病因较多,临床多表现吞咽不适、胸痛、烧心等非特异性症状,内镜下无典型特征性改变,病理活检常仅提示为慢性非特异性炎症,增加了临床诊断难度。因此常常需根据患者临床、内镜、病理活检、影像学检查及一些特殊病原学等各项检查综合诊断,文章结合国内外文献分别探讨引起食管良性溃疡的常见病因及其各项鉴别诊断要点。
The causes of esophageal ulcer are more clinical manifestations of swallowing discomfort, chest pain, heartburn and other nonspecific symptoms, endoscopic features typical changes, pathological biopsy often prompted only chronic non-specific inflammation, increased the difficulty of clinical diagnosis. So often need to be based on clinical, endoscopic, biopsy, imaging studies and some special etiology and other tests comprehensive diagnosis, the article combined with domestic and foreign literature to explore the causes of esophageal common ulcer and its differential diagnosis points.