目的 探讨上消化道憩室经胃镜的检出情况及临床特点.方法 回顾性分析2009年1月-2011年12月我院消化内镜中心经胃镜诊断的257例上消化道憩室资料,包括患者性别、年龄、憩室部位、大小、数量、消化道症状以及并发症.结果 257例患者中男138例,女119例,50岁以上患者占68.48%.267处憩室病灶中,食管憩室105处(39.33%),其中食管中段憩室最多见,占69.52%;胃憩室35处(13.11%),以胃底憩室(34.29%)、胃窦憩室(48.57%)多见;十二指肠憩室127处(47.57%),其中降部憩室占69.29%,且降部憩室患者胆石症、胰腺炎的发生率均高于球部憩室患者(χ2 =4.43,P<0.05;χ2=5.58,P<0.05).结论 上消化道憩室患者没有典型症状,胃镜检查可以明确诊断,对合并有严重并发症者应争取早发现、早治疗.%Objective To investigate the detection of upper gastrointestinal diverticulum by gastroscopy and its clinical features. Methods Analyzed retrospectively gastroscopic diagnosed data of 257 cases of upper gastrointestinal diver-ticula from Jan. 2009 to Dec. 2011 in our digestive endoscopy center, including sex, age, diverticular position, size, number, gastrointestinal symptoms and complications. Results Among 257 cases, 138 patients were male and 119 were female, above 50 years old was 68. 48%. Among 267 diverticular lesions, esophageal diverticula were 105 (39. 33% ) , and the middle esophageal diverticulum was the most accounting for 69. 52% . Gastric diverticula were 35 (13. 11% ) , more common at the gastric fundus (34. 29% ) and gastric sinus (48. 57% ). Duodenal diverticula were 127 (47. 57% ) , diverticulum of descendent duodenum accounted for 69. 29% . The incidence rates of cholelithiasis and pancreatitis in patients of descendent diverticulum were higher than that of patients of bulbar diverticulum (χ2 — 4. 43 , P <0. 05 ; χ2 -5- 58 , P <0. 05) . Conclusion Patients with upper gastrointestinal diverticulum have no typical symptoms , endoscopy can diagnose the disease accurately. Patients with serious complications should be early detected, early treated.
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