孤立性食管静脉瘤223例临床内镜分析

目的通过分析内镜诊断为食管孤立性静脉瘤223例患者的临床内镜特点，以加深内镜医师对该病的认识，减少对该病的误诊。 方法对2013年6月至2018年1月宁夏回族自治区人民医院消化内镜中心通过胃镜诊断的食管孤立性静脉瘤进行分析。 结果期间共完成胃镜诊断48 861例，其中食管孤立性静脉瘤223例，检出率为0.46%，其中5例因出血行内镜下食管静脉瘤硬化术。 结论：食管孤立性静脉瘤属良性病变，增长速度缓慢，一般无特殊处理，若发生出血，内镜下注射聚桂醇硬化治疗为可行有效的方法。

Analysis of endoscopic characteristics of 223 patients with isolated esophageal venous tumor

ObjectiveTo analyze the clinical endoscopic characteristics of 223 patients with isolated esophageal venous tumor diagnosed by endoscopy, so as to deepen the endoscopic doctors′ understanding of the disease and reduce misdiagnosis of the disease. MethodsThe isolated esophageal venous tumors diagnosed by gastroscopy in Digestive Endoscopy Center of Ningxia Hui Autonomous Region People′s Hospital from June 2013 to January 2018 were analyzed. ResultsDuring this period, a total of 48 861 cases were diagnosed by gastroscopy, including 223 cases of isolated esophageal venous tumors, with a detection rate of 0.46%, and 5 cases received esophageal venous tumor sclerotherapy under endoscopy due to bleeding. ConclusionIsolated esophageal venous tumor is a benign lesion with slow growth rate and no special treatment. In case of bleeding, endoscopic injection of lauryl alcohol sclerotherapy is a feasible and effective method.