青年军人复合性溃疡86例内镜检查结果分析

Analysis of Endoscope Test on 86 Youthful Soldiers with Compound Ulcer

目的 探讨青年军人消化性溃疡中复合性溃疡的发生情况及内镜下检查特点。方法 对1997年10月—2002 年10月在我院诊断为消化性溃疡的1367例青年军人的胃镜检查结果进行分析。结果1367例患者中发生复合性溃疡86例(6.3％),男80例,女6例,胃内溃疡发生部位为115处,发生率由高到低依次为胃窦53.9％(62/115),胃体18.3％(21/115),胃角15.6%(18/115),幽门管11.3％(13/115),胃底0.9%(1/115);十二指肠溃疡发生部位为91处,发生率由高到低依次为前壁56.0%(51/91),大弯侧23.1％(21/91),后壁11.0％(10/91),小弯侧7.7％(7/91),球后2.2％(2/91)。幽门螺杆菌检测阳性率为62.1％(41/66)。结论 青年军人消化性溃疡中复合性溃疡发生率为6.3％,男多于女,病变部位胃内以胃窦部最多,十二指肠溃疡内以前壁最多,幽门螺杆菌检测阳性率不高于70％,易复发。

Objective To discuss the incidence of compound ulcer in youthful soldier with peptic ulcer and their characteristic. Methods Clinical analysis in 1 367 youthful soldiers with peptic ulcer during 5 years between 1997 and 2002. Results A total of 86(6. 3% ) compound ulcer were found in 1 367 youthful soldiers with peptic ulcer. Among them ,80 cases were male,6 cases were female (13. 3 ;1 ,P < 0.01). The total site of gastric ulcer were 115, of which sinuses ventriculi were 60(53. 9% ). The total site of duodenal ulcer were 91, of which paries anterior were SI (56. 0% ). Positive rate of H . pylori test were 88%62.1% (41/66). Conclusion The incidence of compound ulcer in youthful soldiers with peptic ulcer is 6. 3%. The quantity of male is much more than that of female. Sinuses ventriculi is the commonest site of gastric ulcer occur, while paries anterior is the commonest site of duodenal ulcer occur. Positive rate of H . pylori test in compound ulcer is no more than 70% . And it easy to recur.