消化性溃疡470例的胃镜特点分析

梁旭丽

（陕西省交通医院内二科，陕西西安，710068）

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摘要：

目的 了解不同地区消化性溃疡的发病特点。方法 对我院6年内经胃镜检查诊断为消化性溃疡的病例进行统计分析。结果 共检出消化性溃疡470例，其中十二指肠溃疡292例，胃溃疡153例，复合型溃疡25例，患者男女之比3.35:1，十二指肠溃疡患者平均年龄40.1岁，胃溃疡患者平均年龄45.9岁。夏季发病率较秋冬和冬春低，溃疡直径约1cm 330例，1~2 cm118例，＞2cm 22例;幽门螺旋杆菌的阳性率为73.56%。患者临床表现以典型腹痛为主，并发症中出血占24.04%。结论 消化性溃疡中十二指肠溃疡发生率高于胃溃疡，男性高于女性;十二指肠溃疡较胃溃疡发病早，十二指肠溃疡病变部位以球前壁和球大弯为高发，胃溃疡以胃窦和胃角为高发。溃疡以小溃疡为主，巨大溃疡很少见，幽门螺旋杆菌感染是引起溃疡的主要原因，老年人腹痛不典型，出血仍是溃疡最多见的并发症。

关键词：消化性溃疡；胃镜；十二指肠溃疡

中图分类号：R573.1文献标志码：A文章编号：2096-1413(2017)05-0149-02

Analysis of the characteristics with gastroscope in 470 cases of peptic ulcer

LIANG Xu-li

(Department of Internal Medicine, Shaanxi Province Traffic Hospital, Xi'an 710068, China)

ABSTRACT: Objective To clarify the characteristics of peptic ulcer in different regions. Methods Cases of peptic ulcer diagnosed with gastroscopy in our hospital in 6 years were analyzed statistically. Results A total of 470 cases of peptic ulcer were detected, including 292 cases of duodenal ulcer, 153 cases of gastric ulcer, 25 cases of compound ulcer, and the ratio of male to female was 3.35：1. The average age of patients with duodenal ulcer was 40.1 years old, while the average age of the patients with gastric ulcer was 45.9 years old. The incidence rate in summer was lower than that in winter and spring. The ulcer diameter was less than 1 cm in 330 cases, 1~2 cm in 118 cases, and more than 2 cm in 22 cases, and the positive rate of helicobacter pylori was 73.56%. Clinical manifestations were mainly abdominal pain, hemorrhage accounted for 24.04% of the complications. Conclusion The incidence of duodenal ulcer is higher than that of gastric ulcer, and the incidence rate in male is significantly higher than that of the female. The incidence of duodenal ulcer is earlier than gastric ulcer,lesions of duodenal ulcer in front of the ball wall and the greater curvature of the ball is high, gastric ulcer in the gastric antrum and gastric angle is high. Small ulcer is mainly in ulcer, and huge ulcer is very rare. Helicobacter pylori infection is the main cause of ulcer, abdominal pain in the elderly is not typical, bleeding is still the most common complications of ulcer.

KEYWORDS: pepti ulcer; gastroscopy; duodenal ulcer

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