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摘要: [目的]探讨Barrett食管（BE）的内镜诊断特点。[方法]回顾性分析2016年1月~2018年1月医院内镜中心诊断的134例BE患者资料。[结果]2年时间里共完成10679例胃镜检查，内镜下诊断可疑BE 134例（1.25%），病理确诊BE72例，占0.67%（72/10679）。134例患者中男53例，女81例；年龄19~81岁，平均52.1岁。根据镜下形态分，全周型占25.4%（34/134），舌型占22.4%（30/134），岛型占52.2%（70/134）；长节段BE占5.2%（7/134），短节段BE占94.8%（127/134）。[结论]BE多见于中年人，BE诊断需内镜与病理相结合，本研究中以岛型及短节段BE型多见。为预防和减少食管腺癌发生，临床内镜医师需加强对BE的认识，规范活检方法，提高BE活检率。Abstract: [Objective] To investigate the endoscopic characteristics of Barrett's esophagus (BE). [Methods] Data of 134 BE patient from January 2016 to January 2018 were analyzed retrospectively.[Results] Of the 10679 endoscopies performed, 134 patients (1.25%) were diagnosed. Of the 134 patients, 0.67% (72/10679) were confirmed to have BE after histologic analysis of the biopsies. There were 53 males and 81 females in the 134 cases, with age of 19-81 years old, the mean age was 52.1 years old. According to the submirror morphology, the full-week type accounts for 25.4% (34/134), the tongue type accounts for 22.4% (30/134), the island type accounts for 52.2% (70/134), the long segment BE is 5.2% (7/134), and the short segment BE was 94.8% (127/134). [Conclusion] BE was most frequently seen in middle-aged, BE should be diagnosed with endoscopy and pathology. The island type and short segment BE type occurred in most patients. In order to prevent and reduce the occurrence of esophageal adenocarcinoma, clinicians might be needed to strengthen the understanding of BE, regulate the biopsy method, and improve the probe biopsy rate.
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Key words:
- Barrett's esophagus /
- endoscopy pathology /
- diagnosis
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