CAJ | 학술논문

目的评价无痛胃镜对食管上段胃黏膜异位(HGMUE)的诊断价值.方法接受胃镜检查者8965例.按检查方式分为无痛胃镜组4 328例和普通胃镜组4 637例,对2种方式HGMUE的诊断率、内镜特点和临床表现进行比较分析.结果普通胃镜组4 637例,检出HGMUE 14例,诊断率为0.30%;无痛胃镜组4 328例,检出HGMUE 34例,诊断率为0.79%,明显高于普通胃镜组,差异有统计学意义(P<0.05).无痛胃镜组距门齿15～17 cm范围内的病灶以及直径<1 cm的病灶检出率明显高于普通胃镜组,差异有统计学意义(P<0.05).结论无痛胃镜不仪能减少患者痛苦,更能提高HGMUE的诊断率,真实地反映HGMUE的发病情况,大大减少漏诊率,特别适于上食管近段及小的HGMUE病灶.
목적 평개무통위경대식관상단위점막이위(HGMUE)적진단개치.방법 접수위경검사자8965례.안검사방식분위무통위경조4 328례화보통위경조4 637례,대2충방식HGMUE적진단솔、내경특점화림상표현진행비교분석.결과 보통위경조4 637례,검출HGMUE 14례,진단솔위0.30%;무통위경조4 328례,검출HGMUE 34례,진단솔위0.79%,명현고우보통위경조,차이유통계학의의(P<0.05).무통위경조거문치15～17 cm범위내적병조이급직경<1 cm적병조검출솔명현고우보통위경조,차이유통계학의의(P<0.05).결론 무통위경불의능감소환자통고,경능제고HGMUE적진단솔,진실지반영HGMUE적발병정황,대대감소루진솔,특별괄우상식관근단급소적HGMUE병조.
Objective To evaluate the clinical value of painless gastroscopy in diagnosis of heterotopic gastric mucosa in upper esophagus (HGMUE). Methods The clinical data of patients diagnosed of HGMUE by ordinary or painless gastroscopy in recent 15 months were collected and analyzed retrospectively. Clinical presentations, endoscopic characteristics and the diagnostic rate were compared between ordinary gastroscopy group and painless gastroscopy group. Results Fourteen cases of HGMUE were confirmed by ordinary gastroscopy among 4367 patients with a diagnostic rate of 0.3%. Thirty-four cases of HGMUE were diagnosed by painless gastroscopy in 4328 patients with a diagnostic rate of 0.79% , which was significantly higher than that in ordinary gastroscopy group (P < 0.05). As compared with ordinary gastroscopy, painless gastroscopy was obviously superior in diagnosis HGMUE located 15 cm to 17 cm from the cutting teeth and with the size less than 1 cm in diameter (P <0.05). Conclusion Painless gastroscopy might increase the clinical diagnostic rate of HGMUE and might more truthfully reflect the incidence. It is particularly effective in finding small lesions at the proximal esophagus.