CAJ | 학술논문

目的评价电子胃镜检查结合临床表现诊断胆汁反流性胃炎的价值.方法在电子胃镜下观察患者胆汁反流入胃的程度,黏膜胆汁染色及伴随其他病变情况,部分患者行黏膜病理检查.结果 10 000例胃镜检查患者发现胃内胆汁反流1 433例,黏膜均表现有不同程度的充血水肿、糜烂,部分患者伴有消化性溃疡、反流性食管炎、萎缩性胃炎,未发现伴有胃癌、食道癌患者.结论电子胃镜检查可作为诊断胆汁反流性胃炎的主要手段.
목적 평개전자위경검사결합림상표현진단담즙반류성위염적개치.방법 재전자위경하관찰환자담즙반류입위적정도,점막담즙염색급반수기타병변정황,부분환자행점막병리검사.결과 10 000례위경검사환자발현위내담즙반류1 433례,점막균표현유불동정도적충혈수종、미란,부분환자반유소화성궤양、반류성식관염、위축성위염,미발현반유위암、식도암환자.결론 전자위경검사가작위진단담즙반류성위염적주요수단.
Objective To analyze the cause of bile refluxing into stomach leading to stomach mucous membrane pathological changes and complications.To evaluate the accuracy of electronic gastroscope combining with clinical manifestation in diagnosis of bile reflux gastritis.Methods The extent of the bile refluxing,bile staining on muco sa and other pathological changes were observed by electronic gastroscope.Part of the patients underwent mucosa biopsy.Results Of the ten thousand patients who underwent electronic gastroscope,there were 1433 cases who presentedbile refluxing.The average age is 46.8 years-old,male and female ratio is 0.75 :1.Mucous membrane presented various degrees of erosion,congestion and edema.Part of the cases combined with peptic ulcer,reflux esophagitis or a trophic gastritis.None of them combined with gastric cancer or esophageal cancer.Conclusion Electronic gastroscope can be main means for diagnosis of bile reflux gastritis.If combined with bilirubin in gastral cavity determination,PH value of gastric juice determination and mucosa biopsy,it can be more scientific.