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目的:探讨食管黏膜剥脱患者的内镜下特征及诊断价值。方法:对23例食管黏膜剥脱患者进行检查,观察其特征,18例患者经对症治疗后复查。结果:内镜特征为长条状或条状或大片状黏膜剥脱,剥脱的黏膜部分与食管壁相连;基底部大量出血或少量渗血,部分见黏膜下血肿形成。18例患者经临床治疗7～15 d后内镜复查食管黏膜均恢复正常。结论:黏膜剥脱症胃镜下具有特征性表现,内镜检查有利于及早发现且预后良好。
Objective: To investigate the endoscopic features and diagnostic value of patients with esophageal mucosal exfoliation. Methods: 23 patients with esophageal mucosal exfoliation were examined, the characteristics were observed, 18 patients were reviewed after symptomatic treatment. Results: The endoscopic features were stripping strip or strip or mucolar mucosa. The exfoliated mucosa was connected with the esophageal wall. Massive hemorrhage or a little oozing at the basal part was observed. Some submucosal hematomas were formed. Eighteen patients returned to normal esophageal mucosa after endoscopy 7 to 15 days after clinical treatment. Conclusion: Mucosal exfoliation has the characteristic appearance under gastroscope. Endoscopy is beneficial to early detection and good prognosis.