胃镜诊断十二指肠降部病变207例分析

目的：探讨十二指肠降部病变发病情况、主要临床表现及胃镜下改变。方法：分析本院近10年来胃镜诊断十二指肠降部病变207例，探讨其主要疾病及临床特点，胃镜诊断情况。结果：降部病变男多于女；以降部溃疡最常见(40．6％)，其次为降部息肉(16．9％)、降部癌(包括乳头癌)占14％、降部炎(11．6％)、降部憩室(4．8％)，还有降部乳头炎、黏膜下肿块、钩虫感染、蛔虫、结石、血管病变等；临床表现无明显特异性，胃镜 病理可以发现病变位置、大小、形状、性质等。结论：十二指肠降部病变多样，临床表现不典型，胃镜有重要诊断价值。

GASTROSCOPE DIAGNOSIS OF DUODENAL DESCENDING PART DISEASE(WITH 207 CASES)

Objective: In order to probe into the cause and primary clinical manifestation and gastroscope diagnosis. Methods: In this paper, 207 cases of gastroscope diagnosis of duodenal descending part disease in recent ten years in our hospital have been analysed. Results: The analysis shows that male person suffer from the disease frequently. The cause of duodenal descending part disease is complicated, duodenal descending part ulcer(40.6%), descending part tumors(16.9%), descending part cancer(14%), inflammation of descending part(11.6%), descending part diverticulum(4.8%) and descending part hookworm infection et al. The clinical manifestation is not typical, the gastroscope and pathology can diagnose the disease.Conclusions: The gastroscope diagnosis has a high value, as the cause of duodenal descending part disease is very complicated and its clinical manifestation is not typical.