2170例消化性溃疡胃镜检查结果分析

Analysis of the Gastroscopic Results of Peptic Ulcer2170 Cases

目的：探讨大理州消化溃疡发病情况及并发症的发生。方法：用资料回顾分析我院１９９０年４月至１９９５年１２月用日本欧林巴斯ＧＩＦ—Ｐ１０和ＧＩＦ—Ｐ２０纤维胃镜检查１４８４６例中的消化性溃疡２１７０例。结果：消化性溃疡检出率为１４．６２％，十二指肠溃疡１４１８例（６５．３５％），胃溃疡６４８例（２９．８６％），复合溃疡１０４例（４．７９％），胃溃疡的平均年龄为４８．５岁，比十二指肠溃疡的平均年龄４１．３岁大７．２岁。结论：胃溃疡的农民发病率高于十二指肠溃疡，十二指肠溃疡的工人发病率比胃溃疡高，十二指肠溃疡的出血、梗阻并发症高于胃溃疡。我州消化性溃疡的检出率与国内其它地区相近。

Objective:To investigate the incidence of peptic ulcer in Dali prefectureMethods:A retrospective analysis on 2170 cases of peptic ulcer detected from 14846 cases examined during the period of January 1990 to December 1995Results:The detected rates of peptic ulcer,duodenal ulcer,gastric ulcer and compound ulcer are 1462%,6535%,2986%,479% respectivelyThe average age of gastric patients is 485yearold,72 years older than that of duodenal ulcer(412yearold)Conclusions:The morbidity of gastric ulcer is higher than that of duodenal ulcer among farmers while among workers the morbidity of duodenal ulcer is higherThe hemorrhagic obstruction complication rate of duodenal ulcer is higher than that of gastric ulcer and the detected rate of peptic ulcer in this prefecture is similar to that in other part of China