食管裂孔疝的单中心临床流行病学调查及分析
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Clinical epidemiology of hiatal hernia: retrospective investigation in a single endoscopy center
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    目的  分析食管裂孔疝(HH)的临床流行病学特点。方法  调查2009年-2014年东莞地区某三甲医院单个内镜中心胃镜诊断食管裂孔疝患者,分析其检出率、性别、年龄分布、症状特点、分型、疝囊直径和伴发上消化道疾病等。结果  6年内接受上消化道内镜检查患者共71 413例。其中,发现HH 121例,总检出率为0.17%,男性检出率为0.23%(88/37 623),女性检出率为0.10%,男女检出率比为2.3∶1;老中青检出率分别为41.33%、19.83%和38.84%,约为2∶1∶2(50∶24∶47);92.56%(112/121)为I型;83.47%(101/121)为中疝囊(2~5 cm);38.02%(46/121)合并反流性食管炎、3.31%(4/121)合并Barrett食管,28.93%(35/121)伴发胃十二指肠疾病。HH的主要症状是上腹不适、腹痛腹胀及反酸烧心。结论  HH是临床常见疾病,常有上消化道症状,且合并反流性食管炎比例高,值得引起高度重视。

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    【Objective】 To investigate the clinical epidemiological characteristics of hiatal hernia (HH). 【Methods】 Clinical, endoscopic, and histologic data were reviewed for patients with a HH diagnosis between 2009 and 2014 in a large hospital of Dongguan area, Guangdong. The prevalence, gender, age distribution, symptoms, classification, diameter of hernia, and concomitant disease of upper digestive tract were evaluated. 【Results】 A total of 71413 patients underwent endoscopy during the past six years. 121 patients (0.17%) were diagnosed with HH, of 0.23% patients were males and 0.10% patients were women (the ratio of man and women: 2.3 : 1). The prevalence of HH was 41.32% in the elderly, 19.83% in middle-aged and 38.84% in youth, respectively. 92.56% (112/121) patients were classified as type I, and 83.47% (101/121) patients were categorized by size as moderate (2~5 cm). There were 38.02% (46/121) patients in combination with reflux esophagitis, 3.31% (4/121) combined with Barrett's esophagus, and 28.93% (35/121) associated with gastroduodenal diseases. The main symptom of HH was epigastric discomfort, abdominal pain or distension, acid reflux, and heartburn. 【Conclusions】 HH should be paid more attention, because it's a common disease with a high proportion of reflux esophagitisis.

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苏剑东,江堤,杨巧玲,廖秀敏,刘玉杰.食管裂孔疝的单中心临床流行病学调查及分析[J].中国内镜杂志,2015,21(11):1182-1185

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  • 收稿日期:2015-07-20
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  • 在线发布日期: 2015-11-30
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