幽门管溃疡45例临床及胃镜分析

目的通过回顾分析2010年1月～2011年3月广东深圳葵涌人民医院内镜诊断的幽门管溃疡45例的临床症状和内镜表现,探讨幽门管溃疡的临床诊治。方法对经内镜确诊的45例幽门管溃疡从临床诊治、内镜表现、病理诊断及治疗效果进行分析。结果幽门管溃疡患者36例(80%)表现为腹痛,饥饿痛24例(53.3%),内镜下观察溃疡活动期38个(70.4%),部位多位于小弯侧(55.6%),病理学均为良性病变,45例患者中HP阳性42例(93.3%)。结论幽门管溃疡易于其他消化系溃疡相混淆,且并发症较多,临床诊断中需行内镜鉴别,其发病与HP感染有关,临床上经抑制胃酸、抗HP治疗可获良效。

Objective Retrospective analysis clinical and endoscopic symptoms of 45 cases with pyloric ulcer,to study the diagnose and treatment of pyloric ulcer.Methods 45 cases diagnosed to pyloric ulcer by endoscopic from the clinical,endoscopic,pathological diagnosis and treatment were analyzed.Results 36 cases of pyloric ulcer patients（80%） manifestations were abdominal pain,including hunger-pain in 24 patients（53.3%）.38（70.4%） ulcer were observed in activities period,which were located in parts of the lesser curvature（55.6%）,and pathology were all benign lesions,42 patients were HP positive（93.3%）.Conclusion The pyloric ulcer is easily confused with other gastrointestinal ulcers,and has more complications,the clinical diagnosis of endoscopic can identification it,and its incidence is matter with HP infection,inhibiting gastric acid,anti-HP treatment may work well.