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-  2018 

189例食管溃疡病因及病理分析 Etiology and Pathology of 189 Cases of Esophageal Ulcer

Keywords: 食管溃疡,病因,病理

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Abstract:

目的:研究食管溃疡患者的病因和病理特点,并探讨食管溃疡的病因与患者的年龄、溃疡部位、数目及大小的相关性。方法:收集解放军武汉总医院2011-2015年间经内镜诊断为食管溃疡的189例患者资料进行回顾性分析。结果:食管溃疡的主要病因依次为特发性食管炎、食管物理损伤、反流性食管炎、食管恶性肿瘤和药物性食管炎。60岁以上老年人以食管恶性肿瘤最多见,60岁以下者以特发性食管炎最多见。食管上段溃疡的主要病因为物理损伤,下段溃疡的主要病因为反流性食管炎,药物性食管炎引起的溃疡主要位于中段。食管多发溃疡的主要病因为反流性食管炎。≥2cm的食管溃疡主要病因为恶性肿瘤;反流性食管炎引起的溃疡多<2cm。本组患者中有病理诊断者110例,其中30例为恶性肿瘤,余80例炎性改变中16例伴有低级别上皮内瘤变。结论:食管溃疡病因与患者的年龄、溃疡的部位、数目及大小均相关。了解不同病因所致食管溃疡的特点,有助于更好地掌握此类疾病的诊治

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