摘要
目的探讨上消化道钡餐检查结合血清幽门螺杆菌（Ｈｐ）抗体测定的临床应用价值。方法对１００例疑为上消化道炎症或溃疡病患儿进行上消化道钡餐（ＧＩ）检查和血清Ｈｐ抗体测定。结果ＧＩ提示十二指肠溃疡１２例，十二指肠球炎５例，胃窦炎１４例，胃炎５６例，正常９例，总阳性率为９１％；其血清Ｈｐ抗体阳性（％）分别为１００％，１００％，９３％，６１％，４４％，总阳性率为６６％。病程＞１月患儿Ｈｐ抗体阳性率明显高于病程≤１月组。结论Ｈｐ感染是小儿溃疡病、十二指肠球炎、胃（窦）炎的主要原因；ＧＩ检查配合血清Ｈｐ抗体测定可做为小儿溃疡病、上消化道炎症及其是否Ｈｐ感染诊断的有效辅助手段。
To study the clinical value of upper gastrointestinal barium swallow(GI)combined with detecting of serum anti-Helicobacter pylori Hp)antibody for diagnosis of children with stomachache.Mcthods GI and serum anti-Hp antibodies were investigated for one hundred children with stromachache.Results GI suggested that l2 children of duodenal ulcer,5 duodenitis,14 antrum gastritis,56 gastritis and 9 normal,and serum anti-Hp antibodies positive of them were l2(100%),5(100%),13(93%),34(61%)and4(44%),respectively.There is a significantly different of serum anti-Hp antibodies postive rate in courses of disease>l month and≤1 month.Conclusio GI combined with detecting of serum anti-Hp antibodies would be helpful in diagnose of children with upper gastrointestinal disorder.
关键词
幽门螺杆菌
抗体
腹痛
儿童
上消化道
钡餐
Helicobacter pylori,antibody stomachache children upper gastrointestinal barium swallow
