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目的了解孝感市胃镜下上消化道疾病的临床特点。方法收集我院自2007年7月1日至2008年6月30日行胃镜检查的5763例患者的临床资料,登记患者就诊时间、姓名、性别、年龄、内镜诊断、病理诊断,并结合临床表现进行诊断。结果行胃镜检查人群年龄30~60岁者占总人数的73.9%,41~50岁占总人数的27.7%;3月份做胃镜检查的人数最多,1、2月份最少;第二季度就诊人数最多,第一季度就诊人数最少。胃镜下最常见的五种上消化道疾病依次为慢性浅表性胃炎、慢性糜烂性胃炎、十二指肠溃疡、胃溃疡和反流性食管炎。十二指肠溃疡与胃溃疡发病率之比为2.8∶1。十二指肠溃疡、胃溃疡、反流性食管炎均男性多见于女性,差异有统计学意义(P<0.05);胃息肉女性多见于男性,差异也有统计学意义(P<0.05);慢性糜烂性胃炎、出血性胃炎差异无统计学意义(P>0.05)。慢性糜烂性胃炎和十二指肠溃疡好发于青壮年;胃溃疡、反流性食管炎、胃息肉好发于中老年;胃癌好发于60岁以上人群。胃溃疡最常见于胃窦,其次是胃角,贲门-胃底最少见。胃癌最常见于胃窦,其次是胃体,幽门管最少见。结论 30~60岁的壮年是孝感市胃镜检查的主要人群,慢性浅表性胃炎、慢性糜烂性胃炎、十二指肠溃疡、胃溃疡和反流性食管炎常见。年青男性好发十二指肠溃疡,中老年男性好发胃溃疡和反流性食管炎,中老年女性好发胃息肉,60岁以上人群好发胃癌。
Objective To understand the clinical features of gastrointestinal upper gastrointestinal diseases in Xiaogan City. Methods The clinical data of 5763 patients undergoing gastroscopy from July 1, 2007 to June 30, 2008 in our hospital were collected, and the time, name, sex, age, endoscopic diagnosis and pathological diagnosis of the patients were registered. Combined with clinical Performance diagnosis. Results Gastrointestinal endoscopy population of 30 to 60 years of age accounted for 73.9% of the total population, 41 to 50 years old accounted for 27.7% of the total number of people; gastroscopy in March the largest number of people, the least in January and February; the second largest number of visits , The lowest number of visits in the first quarter. Gastroscopy under the five most common upper gastrointestinal diseases were chronic superficial gastritis, chronic erosive gastritis, duodenal ulcer, gastric ulcer and reflux esophagitis. The incidence of duodenal ulcer and gastric ulcer is 2.8: 1. Duodenal ulcer, gastric ulcer, reflux esophagitis were more common in men than in women, the difference was statistically significant (P <0.05); gastric polyps women more common in men, the difference was statistically significant (P <0.05); chronic Erosive gastritis, hemorrhagic gastritis no significant difference (P> 0.05). Chronic erosive gastritis and duodenal ulcer occur in young adults; gastric ulcer, reflux esophagitis, gastric polyps occur in middle-aged; gastric cancer occurs in people over the age of 60. Stomach ulcer is most common in the antrum, followed by the corner of the stomach, cardia - the most common gastric fundus. Gastric cancer is most common in gastric antrum, followed by the corpus, the most common pyloric tube. Conclusion The major population of 30-60 years old is gastroscopy in Xiaogan City. Chronic superficial gastritis, chronic erosive gastritis, duodenal ulcer, gastric ulcer and reflux esophagitis are common. Good young men with duodenal ulcer, middle-aged and elderly men with gastric ulcer and reflux esophagitis, middle-aged and elderly women with gastric polyps, over the age of 60 people with gastric cancer.