CAJ | 학술논문

目的：分析胃黏膜异位( heterotopic gastric mucosa, HGM)的临床及病理特点。方法对2011-2013年于我院行胃镜检查提示并经病理确诊的HGM 64例的临床、内镜及病理资料进行回顾性分析。结果 HGM检出率为0.57%,男女比为2.37∶1,年龄(49.83±12.79)岁。食管HGM 32例内窥镜下均可见圆形或椭圆形橘红色区域,与周围食管鳞状上皮分界清晰；幽门螺杆菌(Hp)感染6例(18.8%)。十二指肠HGM 32例全部位于十二指肠球部,镜下可表现为单发类圆形基底部无蒂的息肉样隆起；Hp感染1例(3.1%)。根据是否存在胃腺体分为1和2型,1型较多见,其中食管HGM中1型25例(78.1%),十二指肠HGM中1型23例(71.9%)。食管HGM和十二指肠HGM中均有1例2型患者出现肠上皮化生。结论 HGM检出率较低,临床行内镜检查时要足够重视,对可疑部位应行病理活检明确其性质。
목적：분석위점막이위( heterotopic gastric mucosa, HGM)적림상급병리특점。방법대2011-2013년우아원행위경검사제시병경병리학진적HGM 64례적림상、내경급병리자료진행회고성분석。결과 HGM검출솔위0.57%,남녀비위2.37∶1,년령(49.83±12.79)세。식관HGM 32례내규경하균가견원형혹타원형귤홍색구역,여주위식관린상상피분계청석；유문라간균(Hp)감염6례(18.8%)。십이지장HGM 32례전부위우십이지장구부,경하가표현위단발류원형기저부무체적식육양륭기；Hp감염1례(3.1%)。근거시부존재위선체분위1화2형,1형교다견,기중식관HGM중1형25례(78.1%),십이지장HGM중1형23례(71.9%)。식관HGM화십이지장HGM중균유1례2형환자출현장상피화생。결론 HGM검출솔교저,림상행내경검사시요족구중시,대가의부위응행병리활검명학기성질。
Objective To analyze the clinical and pathological features of the heterotopic gastric mucosa ( HGM) . Methods Clinical data of 64 HGM patients confirmed by pathological examination after being hinted by gas-troscopy from 2011 to 2013 was retrospectively analyzed. Results The HGM detection rate was 0. 57%, and male-fe-male ratio was 2. 37∶ 1 with mean (49. 83 ± 12. 79) years of age. Citrus red areas of round or ellipse were found under endoscopes in 32 patients with esophageal HGM, which were clearly distinguished with the esophageal squamous epitheli-um;Hp (Helicobacter pylori) infection was found in 6 patients (18. 8%). All the 32 patients with duodenal HGM were located in duodenal bulb with single round basilar part of sessile polypoid eminentia, among whom one patient (3. 1%) had Hp infection. It could be divided into typeⅠ and Ⅱ according to the gastric gland existence, and the typeⅠ was common. TypeⅠwas found in 25 esophageal HGM patients (78. 1%) and 23 duodenal HGM patients (71. 9%). Intes-tinal metaplasia was found both in esophageal and duodenal type Ⅱ HGM patients. Conclusion The detection rate of the heterotopic gastric mucosa is low, and clinicians should pay more attention to diagnosis and take biopsy for suspicious sites to confirm the final diagnosis.