非典型症状的反流性食管炎患者临床特征观察

Clinical Features of Reflux Esophagitis With Atypical Symptoms

目的探讨非典型症状反流性食管炎的临床特征。方法回顾性分析2016年1月—2017年3月我院收治的反流性食管炎患者76例的临床资料,按临床症状分为非典型症状组(n=34例)和典型症状组(n=42例),分析两组一般情况、合并疾病以及内镜表现。结果年龄方面,非典型症状反流性食管炎以30~49岁人群居多,且≥50岁年龄人群所占比例高于典型症状组;临床症状方面,非典型症状组表现为食管相关症状占26.47%,食管外症状73.53%;合并疾病方面,非典型症状组合并糜烂性胃炎发生率低于典型症状组(P<0.05)。结论非典型症状的反流性食管炎仅依靠临床症状难以鉴别,需结合其内镜表现及临床特征进行明确诊断。

Objective To investigate the clinical features of atypical symptoms and reflux esophagitis.Methods From January 2016 to March 2017,76 patients with reflux esophagitis treated in our hospital were analyzed retrospectively,they were divided into atypical symptoms group（n=34 cases） and typical symptom group（n=42 cases）,according to clinical symptoms,the general conditions,complications and endoscopic findings of the two groups were analyzed.Results Age,atypical symptoms,reflux esophagitis,the majority of people aged 30~49 years,for more than 50 years old age groups and the proportion was higher than the typical symptom group;In the clinical symptoms,the atypical symptom group showed esophageal related symptoms,accounting for 26.47%,extra esophageal symptoms 73.53%;the incidence of atypical symptom combination and erosive gastritis was lower than that of the typical symptom group（P〈0.05）.Conclusion Reflux esophagitis with atypical symptoms depends on clinical symptoms only.It is necessary to make a definite diagnosis in combination with its endoscopic manifestations and clinical features.