Barrett食管的临床表现与病理类型分析

Relationship among endoscopic characteristics,clinical features and pathologic epithelial types of Barrett esophagus

目的了解Barrett食管(BE)的内镜检出情况及分型特点,研究不同内镜分型的临床及病理特征。方法通过胃镜检查,对可疑BE黏膜钳取病检进行病理组织学检查;对确诊为BE的51例患者,记录其一般状况、主要临床表现、内镜分型及病理分型,同时记录同期检出的257例反流性食管炎(RE)患者的主要临床表现及内镜分型。结果内镜检查中BE检出率为1.76%,RE检出率为8.86%;BE内镜分型:岛型23例,舌型10例,全周型18例;RE合并BE 7.0%,BE合并RE 45.1%,BE不同内镜分型合并反流性食管炎的几率有明显差异,全周型BE明显高于其他两型,P<0.05。结论不同内镜分型的BE临床特征、病理类型存在差异。

Objective To investigate the endoscopic prevalence of Barrett＇s esophagus （BE） and analyze their clinical features and histological findings in endoscopic different pattern of BE. Methods The patients with BE were diagnosed by endoscopy and histology. A total of 51 patients with BE and 257 cases with reflux esophagitis （RE）was enrolled in the study. Their clinical features and histological findings and endoscopic appearances were observed. Results The prevalence of BE in total endoscopy number was 1.76% and the prevalence of RE was 8.86%. Endoscopic appearances type of BE showed island （23 cases）, tongue （ 10 cases） and circumference （18 cases）. 45.1% BE patients were also with RE and 7.0% RE patients were complicated with BE. Circumference type BE complicated with RE has higher prevalence than island and tongue （P 〈 0. 05）. Conclusion The different endoscopic appearances type of BE indicates different clinical feathers and histological findings.