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目的为探讨本地区上消化道疾病的发病情况。方法对自2001年1月至2008年12月门诊和住院病例29256例胃镜结果进行回顾性分析。结果各种炎症性疾病18217例,其中慢性浅表性胃炎(包括伴糜烂)16180例,男11326例,女4854例;慢性萎缩性胃炎(CAG)925例,男792例,女133例;食管炎1427例,男946例,女481例;十二指肠球炎2750例,男2008例,女742例;急性胃粘膜病变975例,男634例,女341例;残胃炎256例,男195例,女61例。十二指肠球部溃疡(DU)6220例,男4465例,女1755例;胃溃疡(GU)1338例,男856例,女482例;复合性溃疡(CU)692例,男423例,女269例;食管溃疡426例,男303例,女123例;胃克罗恩病7例,男5例,女2例。胃癌87例,男54例,女33例;食管癌47例,男35例,女12例;胃息肉172例,男104例,女68例;胃良性肿瘤297例,男204例,女93例。食管胃底静脉曲张326例,男207例,女119例。HP检出率:慢性浅表性胃炎、慢性萎缩性胃炎、食管炎、十二指肠球炎、急性胃粘膜病变、残胃炎、十二指肠球部溃疡、胃溃疡、复合性溃疡、食管溃疡、胃克罗恩病、胃癌、食管癌、胃息肉、胃良性肿瘤、食管胃底静脉曲张分别为74%、76%、72%、97%、87%、65%、97%、89%、88%、63%、45%、79%、55%、77%、56%、34%。DU好发部位球前壁(55.05%),大弯(22.01%),小弯(12.98%),后壁(8%),球后(1.96%);GU好发部位胃角(40.68%),幽门管(28.81%),胃窦(13.56%),胃体(10.85%),胃底贲门(6.1%)。发病年龄特点:慢性浅表性胃炎、十二指肠球部溃疡40岁以前发病14422例,占49.3%;胃溃疡60岁以上发病620例,占46.34%。男/女发病比:在所有上消化道疾病中为3.37:1。结论①上消化道疾病检出率炎症>溃疡>癌症;DU及CSG好发青壮年;②DU发病明显高于GU,溃疡好发部位DU为球前壁>大弯>小弯>后壁>球后,GU为胃角>幽门管>胃窦>胃体>胃底贲门;③HP检出率十二指肠球炎、急性胃粘膜病变、十二指肠球部溃疡、胃溃疡、复合性溃疡在87%~97%,其他上消化道疾病在34%-79%之间;④男/女发病比3.37:1。
Objective To investigate the incidence of upper gastrointestinal diseases in the region. Methods From January 2001 to December 2008, 29256 cases of outpatients and inpatients were retrospectively analyzed. Results A total of 18,217 cases of various inflammatory diseases including 16180 cases of chronic superficial gastritis (including erosion), 11326 cases of male and 4854 cases of female, 925 cases of chronic atrophic gastritis (CAG), 792 cases of male and 133 cases of female, There were 1427 cases of inflammation, 946 cases of males and 481 cases of females. There were 2750 cases of duodenal inflammation, of which 2008 were male and 742 cases were female. There were 975 cases of acute gastric mucosal lesions, 634 cases of males and 341 cases of females. 195 cases, 61 females. Duodenal ulcer (DU) 6220 cases, male 4465 cases, female 1755 cases; gastric ulcer (GU) 1338 cases, 856 cases of male and female 482 cases; 692 cases of complex ulcer (CU), 423 cases of male, Female 269 cases; 426 cases of esophageal ulcer, 303 males and 123 females; gastric Crohn’s disease in 7 cases, 5 males and 2 females. 87 cases of gastric cancer, 54 males and 33 females; 47 cases of esophageal cancer, 35 males and 12 females; 172 cases of gastric polyps, 104 males and 68 females; 297 cases of gastric benign tumors, 204 males and 93 females example. Esophageal and gastric varices in 326 cases, 207 males and 119 females. HP detection rate: chronic superficial gastritis, chronic atrophic gastritis, esophagitis, duodenal inflammation, acute gastric mucosal lesions, residual gastritis, duodenal ulcer, gastric ulcer, complex ulcer, esophagus Gastric ulcer, gastric Crohn’s disease, gastric cancer, esophageal cancer, gastric polyps, stomach benign tumor and esophageal varices were 74%, 76%, 72%, 97%, 87%, 65%, 97%, 89% , 88%, 63%, 45%, 79%, 55%, 77%, 56%, 34%. (55.05%), big bend (22.01%), small bend (12.98%), posterior wall (8%) and ball posterior (1.96% (28.81%), gastric antrum (13.56%), gastric body (10.85%), gastric cardia (6.1%). Age of onset characteristics: chronic superficial gastritis, duodenal bulb ulcer 14422 cases before the age of 40, accounting for 49.3%; gastric ulcer 620 cases over the age of 60, accounting for 46.34%. Male / female incidence ratio: 3.37: 1 in all upper gastrointestinal diseases. Conclusions ① The detection rate of upper digestive tract diseases is> ulcer> cancer; DU and CSG are good at young adults; ② the incidence of DU is obviously higher than that of GU; the prone part of ulcer is DU> big bend> small bend> back wall> ball After the GU is the angle of the stomach> pyloric tube> stomach> stomach> stomach cardia; ③ HP detection rate of duodenal inflammation, acute gastric mucosal lesions, duodenal ulcer, gastric ulcer, In 87% to 97%, other upper gastrointestinal diseases in 34% -79%; ④ male / female incidence of 3.37: 1.