中华胃肠内镜电子杂志
中華胃腸內鏡電子雜誌
중화위장내경전자잡지
Chinese Journal of Gastrointestinal Endoscopy (Electronic Edition)
2014年
2期
84-86
,共3页
赵浩杰%李鹏飞%杨玉秀%李修岭%周炳喜%李晓芳%丁辉%韩双印
趙浩傑%李鵬飛%楊玉秀%李脩嶺%週炳喜%李曉芳%丁輝%韓雙印
조호걸%리붕비%양옥수%리수령%주병희%리효방%정휘%한쌍인
胃镜检查%食管%微小病变%检出率
胃鏡檢查%食管%微小病變%檢齣率
위경검사%식관%미소병변%검출솔
Gastroscopy%Esophagus%Minimal lesion%Detection rate
目的：研究无痛胃镜对胃食管黏膜异位和反流性食管炎（A 级）等微小病变的检出率是否优于普通胃镜。方法前瞻性观察郑州大学附属人民医院（河南省人民医院）消化科2014年6至9月行胃镜检查的2009例患者，其中行无痛胃镜检查1639例，普通胃镜370例，比较两组患者食管胃黏膜异位和反流性食管炎（A 级）的检出率是否有统计学差异。结果无痛胃镜组食管胃黏膜异位检出率（143／1439）为8．7％，普通胃镜组检出率（17／370）为4．6％（χ2＝7．025，P ＜0．05）；无痛胃镜组反流性食管炎（A 级）检出率为2．3％，普通胃镜组检出率为3．5％（χ2＝1．742，P ＞0．05）。结论无痛胃镜检查对食管胃黏膜异位的检出率高于普通胃镜，提示无痛胃镜可能提高食管上段微小病变的检出率。
目的：研究無痛胃鏡對胃食管黏膜異位和反流性食管炎（A 級）等微小病變的檢齣率是否優于普通胃鏡。方法前瞻性觀察鄭州大學附屬人民醫院（河南省人民醫院）消化科2014年6至9月行胃鏡檢查的2009例患者，其中行無痛胃鏡檢查1639例，普通胃鏡370例，比較兩組患者食管胃黏膜異位和反流性食管炎（A 級）的檢齣率是否有統計學差異。結果無痛胃鏡組食管胃黏膜異位檢齣率（143／1439）為8．7％，普通胃鏡組檢齣率（17／370）為4．6％（χ2＝7．025，P ＜0．05）；無痛胃鏡組反流性食管炎（A 級）檢齣率為2．3％，普通胃鏡組檢齣率為3．5％（χ2＝1．742，P ＞0．05）。結論無痛胃鏡檢查對食管胃黏膜異位的檢齣率高于普通胃鏡，提示無痛胃鏡可能提高食管上段微小病變的檢齣率。
목적：연구무통위경대위식관점막이위화반류성식관염（A 급）등미소병변적검출솔시부우우보통위경。방법전첨성관찰정주대학부속인민의원（하남성인민의원）소화과2014년6지9월행위경검사적2009례환자，기중행무통위경검사1639례，보통위경370례，비교량조환자식관위점막이위화반류성식관염（A 급）적검출솔시부유통계학차이。결과무통위경조식관위점막이위검출솔（143／1439）위8．7％，보통위경조검출솔（17／370）위4．6％（χ2＝7．025，P ＜0．05）；무통위경조반류성식관염（A 급）검출솔위2．3％，보통위경조검출솔위3．5％（χ2＝1．742，P ＞0．05）。결론무통위경검사대식관위점막이위적검출솔고우보통위경，제시무통위경가능제고식관상단미소병변적검출솔。
Objective To discuss whether painless gastroscopy has better efficacy in the detection of heterotopic gastric mucosa in proximal esophagus and reflux esophagitis as compared with the application of conventional gastroscopy.Methods A total of 2009 patients undergoing gastroscopy examination at Zhengzhou University Affiliated Hospital (also known as Henan Provincial People′s Hospital)from June to September 2014 were enrolled in the study,including 1 639 patients taking painless gastroscopy and 370 for conventional gastroscopy.The detection rates of heterotopic gastric mucosa in proximal esophagus and reflux esophagitis (Grade A)were compared between the two groups respectively.Results The detection rate of heterotopic gastric mucosa in proximal esophagus was 8.7% (143 out of 1 639 patients who underwent painless gastroscopy)and that in the conventional gastroscopy group was 4.6% (17 out of 370 patients) (χ2 =7.025,P <0.05 );the positive rate of reflux esophagitis (Grade A)was 2.3% in the painless gastroscopy group and that in the conventional gastroscopy group was 3.5% (χ2 =1.742,P >0.05 ). Conclusion The detection rate of heterotopic gastric mucosa in proximal esophagus is higher using painless gastroscopy than using conventional gastroscopy,which means painless gastroscopy may be more sensitive in detecting small lesions in proximal esophagus.
