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我院自1986年以来,对474例患者的食道行胃镜检查并全部取样活检,以病理诊断为依据,共诊断食道炎300例,食道炎检出率63.3％。有典型症状43例,占14.3％。257例缺乏食道炎症状,占85.6％。按轻、中、重三度分类法,轻度:32.3％,中度:56.3％,重度:11.3％。40例做电镜检查,100例做盐酸滴注试验。 食道炎胃镜下所见:1、色调改变。多数食道炎较正常粘膜色调明显加深,可呈深红色,深黄色、明显白色等。单纯色调改变多是轻度食道炎。2、血管透见。轻度食道炎可见血管纹模糊、紊乱、密集或稀疏。重度食道炎血管透见消失。3、粘膜增厚、粗糙感,常呈颗粒状。缺乏正常粘膜光泽和湿
In our hospital since 1986, gastroscopy has been performed on 474 patients and all of them have been biopsy. Based on pathological diagnosis, 300 cases of esophagitis were diagnosed, and the detection rate of esophagitis was 63.3%. There are 43 typical symptoms, accounting for 14.3%. 257 cases lacked esophageal symptoms, accounting for 85.6%. According to the light, medium and heavy three-degree classification, the degree of lightness was 32.3%, the middle degree was 56.3%, and the severity was 11.3%. Electron microscopy was performed in 40 cases and hydrochloric acid instillation was performed in 100 cases. Esophagitis seen under gastroscope: 1. Hue changes. Most of the esophagitis had darker shades, darker yellows, and more white than the normal mucosa. Simple changes in tone are mostly mild esophagitis. 2, see through the blood vessels. Mild esophagitis may have blurred, disordered, dense or sparse vascular pattern. Severe esophagitis disappeared. 3, thickening of the mucous membrane, rough, often granular. Lack of normal mucous sheen and wet