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我院应用电子胄镜诊断了32例老年人食管裂孔疝(Hiatus hernia),现就其临床及镜下特点进行讨论,以便加深其认识。1临床资料1．1一般资料我院内镜室在2004年6月～2006年6月共做6956例胃镜检查,诊断食管裂孔疝50例(0．7%),其中老年人裂孔疝32例(0．5%),占食管裂孔疝的64%。老年人食管裂孔疝中男16例,女16例,男：女=1：1：年龄60～85 (平均73．8)岁。30例(92．9%)为滑动型食管裂孔疝(92．9%)。临床表现：30例中胸骨后或剑突下疼痛24例(75%),反酸、嗳气16例(50%),恶心、呕吐、呕血6例(18．8%),纳差5例(15．6%),吞咽困难2例(6．3%),无症状2例(6．3%)。病史4 d～50年。并存上消化道疾病：急,慢性胃炎30例(93．8%),食管炎16例(50%),十二指肠球炎7例(21．9%),食管溃疡2例(6．3%),同时并存2种以上病变18例(56．3%)。
In our hospital, 32 cases of hiatus hernia were diagnosed by electronic microscopy. Their clinical and microscopic features are discussed in order to deepen their understanding. 1 Clinical data 1.1 General Information Our hospital endoscopy room in June 2004 ~ June 2006 a total of 6956 gastroscopy, diagnosis of hiatal hernia in 50 cases (0.7%), of which 32 cases of hiatal hernia (0.5%), accounting for 64% of hiatal hernia. 16 cases of elderly hippocampal hiatal hernia, 16 females, male: female = 1: 1: age 60 to 85 (average 73.8) years old. Thirty patients (92.9%) had sliding esophageal hiatal hernia (92.9%). Clinical manifestations: In 30 cases, there were 24 cases (75%) of sternum or xiphoid pain, 16 cases (50%) of acid reflux and belching, nausea, vomiting and hematemesis, 6 cases (18.8% 15.6%), dysphagia in 2 cases (6.3%) and asymptomatic in 2 cases (6.3%). Medical history 4 d ~ 50 years. There were 30 cases of acute and chronic gastritis (93.8%), 16 cases of esophagitis (50%), 7 cases of duodenal inflammation (21.9%) and 2 cases of esophageal ulcer (6 cases). 3%), while coexisting more than two lesions in 18 cases (56.3%).