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十二指肠及胃同时发生溃疡,称为复合性溃疡。本文30例均由内镜诊断,现结合文献就其发生机制作一初步探讨。 1临床资料 1.1一般资料:男27例,女3例。年龄26—30岁6例,31—40岁6例,41例以上18例。病程6个月—10年。临床表现十二指肠溃疡(DU)症状为主者居多(21/30),有幽门不全梗阻表现者1例。 1.2内镜及病理学检查:30例均经内镜诊断,胃溃疡(GU)常规经内镜活检证实为良性溃疡。DU均位于十二指肠球部,多发性12例,单发性18例。球部及幽门口充血、水肿变形者4例,其中1例内镜通过困难,伴胃内潴留液增多。GU为多发性者14例;单发性16例,其中位于胃窦部者3例,胃角处3例,胃体部10例。 2讨论 一般认为,在复合性溃疡中,DU常先于GU出
Duodenal and gastric ulcers occur at the same time, known as the compound ulcer. This article 30 cases are diagnosed by endoscopy, now combined with the literature on the mechanism for a preliminary study. 1 clinical data 1.1 General Information: 27 males and 3 females. 6 cases were 26-30 years old, 6 cases were 31-40 years old and 18 cases were more than 41 cases. Course of 6 months to 10 years. Clinical manifestations of duodenal ulcer (DU) were mostly predominant (21/30), with pyloric obstruction in 1 case. 1.2 Endoscopy and pathological examination: 30 cases were diagnosed by endoscopy, gastric ulcer (GU) conventional endoscopic biopsy confirmed benign ulcer. DU are located in the duodenal bulb, multiple in 12 cases, 18 cases of solitary. Ball and pylorus hyperemia, edema in 4 cases, of which 1 case of endoscopic difficulties, with increased intragastric fluid retention. GU was multiple in 14 cases; single in 16 cases, including 3 in the antrum, 3 in the corner of the stomach, gastric body in 10 cases. 2 Discussion It is generally believed that in complex ulcers, DU often precedes GU