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目的探讨内镜检查结合临床表现对反流性食管炎(RE)的诊断以及临床治疗方法。方法回顾性分析贵州省息烽县人民医院2008-08-2010-06 186例经消化内镜诊断为反流性食管炎患者的临床资料。结果内镜下RE表现为A级78例,B级87例,C级16例,D级5例。所有患者经综合治疗后治愈33例,有效72例,显效61例,无效20例,总有效率达89.2%。结论内镜结合临床表现可提高RE的诊断准确性,抗酸剂、抑酸剂、胃动力药、黏膜保护剂联合用药是治疗反流性食管炎的有效方法。
Objective To investigate the diagnosis and clinical treatment of reflux esophagitis (RE) combined with clinical manifestations by endoscopy. Methods The clinical data of 186 patients with reflux esophagitis diagnosed by digestive endoscopy were retrospectively analyzed. Results The endoscopic RE showed 78 cases of A grade, 87 cases of B grade, 16 cases of C grade and 5 cases of D grade. All patients were cured after treatment of 33 cases, effective in 72 cases, 61 cases markedly effective in 20 cases, the total effective rate was 89.2%. Conclusion Endoscopy combined with clinical manifestations can improve the diagnostic accuracy of RE. Antacids, antacids, gastric motility agents and mucosal protective agents are effective methods for the treatment of reflux esophagitis.