551例消化道憩室的发病学特征分析——并国内文献复习

Analysis of Clinical Features of Gastrointestinal Diverticula of 551 Patients： A review of domestic literatures.

目的 阐明国人消化道憩室的患病情况及临床特点。方法 结合国内文献复习，对551例消化道憩室的临床资料进行回顾性分析。结果 551例消化道憩室中，老年患者占58．6％，食管憩室、胃憩室、十二指肠憩室、空回肠憩室和结直肠憩室分别有14例（2．54％）、10例（1．81％）、395例（71．69％）、70例（12．70％）和62例（11．25％）；14例食管憩室中，中段占78．6％，高于咽食管憩室的11．2％。62例结直肠憩室中，右半结肠憩室占56．5％，高于左半结肠的38．7％。结论 国人消化道憩室的发病特征与西方社会均存在某些差异，尤其在食管和结直肠憩室方面。

Objective To investigate the prevalence and clinical features of gastrointestinal diverticula in Chinese people. Methods 551 patients with gastrointestinal diverticula were analyzed retrospectively and integrated with domestic literatures. Results Among the 551 patients, 58.6% were over 60 years. The incidence of esophageal diverticula, gastric diverticula, duodenal diverticula, jejunoileal diverticula and diverticula of the large intestine was 2.54%, 1.81%, 71.69%, 12.70% and 11.25% respectively. Among the 14 esophageal diverticula patients, the incidence of midesophageal diverticula （78.6%） was higher than that in pharyngesophageal diverticula （11.2%）. Among the 62 diverticula of the large intestine patients, the incidence of right-side diverticula （56.5%） was higher than that of left-side diverticula （38.7%）. Conclusion There were some differences between Chinese people and Western ones in the prevalence and clinical features of gastrointestinal diverticula, especially in the diverticula of esophagus and large intestine.