胃镜检查6278例结果分析

Analysis of the results of 6 278 cases of gastroscopy

目的:对本中心6278例胃镜检查结果进行回顾性分析。方法:取1994年1月～2008年2月做胃镜检查的5126例患者为前期组,2008年3月～2012年2月做胃镜检查的1152例患者为后期组,作对比性分析。结果:后期组的食管炎检出率明显高于前期组(P<0.01),前期组的上消化道溃疡检出率为20.1%,后期组的上消化道溃疡检出率为13.1%,各个分类均有不同程度的下降,其中后期组的复合溃疡检出率只有前期组的一半,差异有统计学意义(P<0.01)。两组间息肉、肿瘤检出率比较(P>0.05),差异无统计学意义。后期组的"其他"项目的检出率大大高于前期组(P<0.01)。结论:根据所提供的样本显示,当前胃镜检查结果较以往发生了3个明显的变化:患食道返流疾病的年轻人逐渐增多,溃疡病逐渐减少,胃镜检查结果正常的人群在增加。

Objective： The results of gastroscopy examination of 6278 cases were analyzed retrospectively. Method：Five thousand and one hundred and twenty six patients examined with gastroscopy from Jan.1994 to Feb.2008 were taken as a pre-group and 1152 cases examined from March 2008 to Feb.2012.2 were taken as a late group, whose results were analyzed comparatively. Result： The detection rate of esophagitis was significantly higher in pro-group than that in late group （P〈0.01）. The detection rates of the upper digestive tract ulcer were 20.1% in the pre-group and 13.1% in the late group. Each category had varying degrees of decline and the detection rate of compound ulcer in the late group was only half of the pre-group, which had significant difference （P〈0.01）. Comparison of polyps and tumor detection between two groups had no statistic differences（P〉0.05）. The detection rates of ＂other projects＂ were significantly higher in the late group than those in the pre-group （P〈0.01）. Conclusion： The provided samples displayed that three obvious changes occurred more at present than before; the number of young persons with esophageal reflux disease gradually increased, the patients with ulcer disease gradually reduced, the population examined with gastroscopy having normal results increased.