内镜检查中反流性食管炎及相关因素的调查分析

目的探讨内镜检查中反流性食管炎及其相关因素如食管裂孔疝的发病情况及临床特点。方法回顾我院1999年1月-2000年12月胃镜检查资料，检出符合标准的反流性食管炎、食管裂孔疝及其它与食管炎相关的病例，分析各种病例检出情况、临床特点及合并症。结果反流性食管炎167例，检出率3．85％；食管裂孔疝101例，检出率2、47％；其中反流性食管炎合并食管裂孔疝66例(39．52％)，而食管裂孔疝中61．68％合并反流性食管炎；反流性食管炎合并十二指肠溃疡并不全梗阻37例(22．16％)，胆汁反流7例(4．19％)，急性胃黏膜病变4例(2．39％)，残胃6例(3．59％)。另外，反流性食管炎中有20例(11．97％)患者表现为贲门松弛。食管炎合并食管裂孔疝的患者较单纯食管裂孔疝的患者年龄明显增大，前者58、88岁，后者40．03岁。合并食管炎的食管裂孔疝患者反酸、烧心症状的发生率较单纯裂孔疝高。结论反流性食管炎与很多因素有关，食管裂孔疝为反流性食管炎的重要病因，随着年龄增大食管裂孔疝合并反流性食管炎的机率增加、尤其是老年人伴有反流症状的更要引起注意。

Analysis of reflux esophagitis and factors correlated with it on endoscopic examination

To approach the incidence and clinical characteristics of reflux esophagitis and factors that is correlated with it on endoscopic examination. Through reviewing the datas of endoscopic examination, the research found the cases that were accorded with the diagnostic standard of esophagitis, esophageal hiatal hernia and the other cases correlated with the esophagitis. It analysed the incidence of various disease, its clinical characteristics and accompanied disease. The cases of esophagitis were 167, the incidence was 3.85%. The esophageal hiatal hernia was 101, the diagnosis rate was 2.47%. In these cases, 66 cases of esophagitis were complicated by esophageal hiatal hernia, 66.68% of the esophageal hiatal hernias were complicated by esophagitis; the esophagitis accompanied duodenal ulcer that complicated pyloric stenosis was 37(22.16%) cases, reflux of the bile was 7(4.19%)cases, acute gastric mucosa erosion 4(2.39%) cases, incomplete stomach 6 (3.59%) cases. The age of esophagitis was older than purely esophageal hiatal hernia, the incidence of acid regurgitation and heartburn was higher. [Conclusions] The reflux esophagitis is correlated with various factors. The esophageal hiatal hernia is an important cause of it. Old have higher incidence esophagitis.