21310例十二指肠溃疡流行病学分析

目的探讨十二指肠溃疡的流行病学特点。方法对南宁市17家医院1992—1997年经胃镜检查诊断为十二指肠溃疡的21310例患者资料进行回顾性分析。结果①从行胃镜检查的104121例患者中检出十二指肠溃疡21310例，检出率为20．47％，占检出的消化性溃疡87．87％。②十二指肠溃疡中，男16002例、女5308例，男性发病人数多于女性（P〈0．01）。③中青年是十二指肠溃疡的高发年龄，30～39岁年龄段是检出的高峰。④十二指肠球部溃疡的易发部位依次为前壁（47．16％，11662处）、大弯（24．90％，6159处）、小弯（16．67％，4123处）、后壁（11．27％，2787处）。霜斑样溃疡在十二指肠球后发生率较高。⑤十二指肠溃疡发病与季节有一定关系，检出率最高的是冬春季。结论十二指肠溃疡患者男性多于女性；中青年为十二指肠溃疡高发人群，球部溃疡以前壁最多见；霜斑样溃疡在十二指肠球后较常见；十二指肠溃疡冬春季检出率高于夏秋季。

The clinical epidemiology study of 21 310 duodenal ulcer patients

Objective To investigate the epidemiology characteristic of duodenal ulcer disease. Methods 21 310 patients with duodenal ulcer during 1992-1997 were observed. Results Among all 104 121 patients who accepted the gastroscope, 21 310 patients were diagnosed duodenal ulcer and there are 16 002 male patients and 5 308 female patients. The young and the middle aged tended to suffer from duodenal ulcer especially those who were 30 to 39 years old. The duodenal ulcer was mostly found at antetheca of duodenal. Frost shape ulcer was mostly found behind duodenal. The duodenal ulcer was likely to be found in winter and spring. Conclusion The majority of peptic ulcer patients are youth. Male is easier to be suffered from duodenal ulcer than female. Frost shape ulcer is mostly found behind duodenal bulb. It is easier to be suffered from peptic ulcer in winter and spring.