食管疾病2024，Vol.6Issue(2)：120-123,4.DOI:10.15926/j.cnki.issn2096-7381.2024.02.006
食管胃黏膜异位的临床特征分析及与吸烟的关系
Clinical Characteristics Analysis of Esophageal and Gastric Mucosal Ectopia and Its Relationship with Smoking
摘要
Abstract
Objective To explore the epidemiological situation,endoscopic manifestations,and relation-ship with clinical symptoms of esophageal and gastric mucosal ectopia(HGMUE);and to explore the relation-ship between esophageal and gastric mucosal displacement and smoking.Methods The data of 9 652 pa-tients who underwent gastroscopy in our hospital from January 2022 to June 2023 were analyzed.152 patients diagnosed with esophageal and gastric mucosal displacement through gastroscopy were included in the obser-vation group,and 165 individuals who underwent normal gastroscopy at our hospital's examination center during the same period were included in the control group.The case data of the two groups were summarized and analyzed Results 152(1.57％)found esophageal and gastric mucosal displacement,including 103(79.61％)males and 49(30.24％)females;126(82.89％)cases were located in the upper esophageal and gastric mucosal ectopia.In the observation group,121(79.61％)patients had symptoms of throat reflux such as acid reflux and heartburn,108(71.05％)patients had symptoms of foreign body sensation in the throat,and 75(49.34％)patients experienced per-sistent throat clearing or coughing;middle aged and young people are more prone to typical clinical symptoms such as acid reflux,heartburn,pharyngeal foreign body sensation,and coughing compared to the elderly.In the control group,25(15.16％)patients experienced symptoms of pha-ryngeal reflux such as acid reflux and heartburn,36(21.82％)patients experienced symptoms of foreign body sensation in the throat,and 11(6.67％)patients experienced persistent throat clearing or coughing.The proportion of smoking patients and the average smoking index in the observation group were higher than those in the control group.Conclusion The incidence rate of esophagogastric mucosal ectopia in male pa-tients is significantly higher than that in female patients.Most of the sites of esophagogastric mucosal ectopia are located in the upper part of the esophagus.Endoscopy shows island or sheet erythema like changes in the esophageal mucosa.Acid reflux,heartburn,and other symptoms of pharyngeal reflux are the most common clinical symptoms in patients with esophageal and gastric mucosal ectopia,and their incidence is significantly higher than that in non esophageal and gastric mucosal ectopia patients.Smoking is positively correlated with the occurrence of esophageal and gastric mucosal displacement.关键词
食管胃黏膜异位/吸烟/反酸Key words
esophageal and gastric mucosal ectopia/smoking/acid reflux分类
医药卫生引用本文复制引用
尚玛莉,徐丽苹,吴秀丽,杨轲勇,刘进进,王真真,于会生..食管胃黏膜异位的临床特征分析及与吸烟的关系[J].食管疾病,2024,6(2):120-123,4.基金项目
洛阳市医疗卫生指导性科技计划项目(2022033Y)河南省医学科技攻关计划联合共建项目(LHGJ20230803)消化道早癌医师共同成长计划(GTCZ-2021-HN-41-0001) （2022033Y）
