3 826例消化性溃疡胃镜及流行病学分析
Modern Medicine & Health(2008)
Abstract
目的:调查本地区消化性溃疡(PU)的流行病学状况.方法:对我院近5年来经胃镜检查证实的3 826例PU进行回顾性分析.结果:(1)PU总检出率为21.5%;胃溃疡(GU)和十二指肠溃疡(DU)检出率分别为15.2%、78.2%;DU与GU之比为5.15:1.(2)PU检出男女之比为1.83:1;PU以中青年好发,青少年组以DU为主(86.6%),中年组和老年组GU检出率逐渐上升(分别P<0.01),而DU检出率逐渐下降(分别P<0.01);PU以冬春季节多发.(3)上消化道出血是PU最常见的并发症;DU并发出血率高于GU(P<0.01),并发穿孔率低于GU(P<0.05).(4)GU好发于胃角和胃窦,DU好发于球部前壁和大弯侧;二者均以单发、小溃疡多见.(5)幽门螺杆菌(HP)总检出率为85.2%;DU的HP检出率(88.5%)明显高:J:GU(71.2%)(P<0.01).结论:流行病学调查对于PU的防治具有一定的指导意义.
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Key words
Peptic ulcer,Gastroscope,Epidemiology
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