CAJ | 학술논문

目的?探讨镜检所致食管贲门黏膜撕裂综合征(Mallory-Weiss综合征)常见病因及治疗方法.方法?对2003?年9月至2012年6月昆明市第一人民医院内镜检查所致食管贲门黏膜撕裂32例病例资料进行回顾性分析.结果?32例患出现镜检所致食管贲门黏膜撕裂,新手操作占37.50%(12/32),并反流性食道炎占21.88%(7/32),并食道裂孔疝25.00%(8/32),?老年人、体形消瘦占15.62%(5/32),32例均行镜下治疗,外科手术1例,死亡1例,病死率为3.13%(1/32).结论?镜检所致食管贲门黏膜撕裂虽发生率低,但病情轻重不一,重者致死,应引起内镜医师重视,镜下治疗是主要的治疗方法.
목적?탐토경검소치식관분문점막시렬종합정(Mallory-Weiss종합정)상견병인급치료방법.방법?대2003?년9월지2012년6월곤명시제일인민의원내경검사소치식관분문점막시렬32례병례자료진행회고성분석.결과?32례환출현경검소치식관분문점막시렬,신수조작점37.50%(12/32),병반류성식도염점21.88%(7/32),병식도렬공산25.00%(8/32),?노년인、체형소수점15.62%(5/32),32례균행경하치료,외과수술1례,사망1례,병사솔위3.13%(1/32).결론?경검소치식관분문점막시렬수발생솔저,단병정경중불일,중자치사,응인기내경의사중시,경하치료시주요적치료방법.
Objective?To?explore?the?common?causes?and?thrapy?of?Mallory-Weiss?Syndrome(MWS).Methods?We?retrospectively?analyzed?the?clinical?data?of?32?cases?of?MWS?caused?by?Endoscopic?Examination?in?our?department?from?September,2003?to?June,2012.?Results?Among?the?32?cases,novice?operators account for 37.50%(12/32),reflux esophagitis cases account for 21.88%(7/32),esophageal hiatal hernia cases account for 25.00%(8/32), old people’ s?emaciation?cases?account?for?15.62%(5/32).All?the?cases?underwent?endoscopic?therapy,?with?1?case?by?surgery?and?1?case?of?death,and?the?death?rate?is?3.13%(1/32).Conclusion?Incidence?of?MWS?caused?by?Endoscopic?Examination?islow,and?the?severity?is?different.Some?serious?cases?may?die,?which?should?arouse?the?attention?of?endoscopic?doctors.?The?main?measure?should?be?endoscopic?therapy.