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目的 探讨国人消化道憩室的患病情况、临床特点及并发症。方法 对 5 5 1例消化道憩室的临床资料进行回顾性分析 ,经胃镜、消化道钡餐或两者联合确诊食管和胃憩室分别为 14和 10例 ,分别经消化道钡餐、手术、ERCP或手术 +ERCP确诊十二指肠憩室 395例 ,分别经消化道钡餐、手术或两者联合确诊空回肠憩室 70例 ,分别经肠镜、结肠气钡造影和手术确诊结肠憩室 6 2例。结果 5 5 1例消化道憩室中 ,老年患者占 5 8.6 % ,14例食管憩室中 ,中段占 78.6 % ,高于咽食管憩室的 11.2 %。 6 2例结肠憩室中 ,右半结肠憩室占 5 6 .5 % ,高于左半结肠的 38.7%。大多数食管和胃憩室无特殊表现 ,约半数的小肠和结肠憩室属于症状性憩室病。十二指肠憩室的胆石和胰腺炎并发率分别为 34.2 %和10 .1% ,且降段憩室并发率显著高于非降段憩室 (P <0 .0 5 )。结论 国人消化道憩室在发病特征和临床并发症方面与西方社会均存在某些差异
Objective To investigate the prevalence, clinical features and complications of gastrointestinal diverticula in China. Methods The clinical data of 551 cases of digestive diverticula were retrospectively analyzed. Gastroscopy, gastrointestinal barium meal or a combination of the two were used to diagnose esophageal and gastric diverticulum in 14 and 10 cases, respectively. The patients underwent digestive barium meal, surgery, ERCP or surgery ERCP was diagnosed in 395 cases of duodenal diverticulum. 70 cases of IUD were diagnosed by digestive tract barium meal, operation or both respectively. Sixty-two cases of colonic diverticulum were diagnosed by colonoscopy, colon-barium angiography and operation respectively. Results In 55 cases of digestive tract diverticulum, the elderly patients accounted for 58.6%. Among 14 cases of esophageal diverticulum, 78.6% were esophageal diverticulum, which was higher than 11.2% of pharyngoesophageal diverticulum. Of the 62 cases of colonic diverticula, right colon resection accounted for 56.5%, higher than the left half of the colon 38.7%. Most esophageal and gastric diverticulum no special performance, about half of the small intestine and colon diverticulum are symptomatic diverticular disease. The rates of gallstone and pancreatitis in duodenal diverticula were 34.2% and 10.1% respectively, and the incidence of diverticula in descending ducts was significantly higher than that in non-descending diverticula (P <0.05). Conclusions There are some differences between Chinese people’s gastrointestinal diverticula and western society in the incidence characteristics and clinical complications