摘要
目的分析胆汁反流性胃炎的内镜特征,以探讨其发病相关因素。方法对361例内镜检查见黏液糊黄染和黏膜附着胆汁斑患者,进行内镜诊断、病理组织学检测及快速尿素酶试验,分析其与胆汁反流的关系。结果有65.1%的病例内镜下可诊断为慢性浅表性或萎缩性胃炎;组织学上有4.7%表现为胃小凹增生;25.3%病例存在幽门螺杆菌(Hp)感染。结论胆汁反流是慢性胃炎的一种常见内镜下表现,其病理组织学改变并不以胃小凹增生为特征;胆汁反流性胃炎患者Hp感染率偏低。
Objective To explore the endoscopic characteristics of bile reflux gastritis, and to analyze its etiological factors retrospectively. Methods 361 patients were examineed by gastroscopy,and those whose mucous lake stained yellow or cohered bilious spots were detected by pathohistology and quick urease test were performed. Results The ratio of bile regurgitation in chronic gastritis patients was 65.1% while the ratio of gastric pit accrementition and Hp positiv were 4.7% and 25.3% respectively. Conclusions Bile regurgitation was a common phenomenon in chronic gastritis patients, while the characteristic change of pathologic histology wash＇ t gastric pit accrementition, and the infection rate of Hp in patients with bile reflux gastritis was low.
出处
《医学研究杂志》
2007年第7期100-101,共2页
Journal of Medical Research
关键词
胆汁反流
胃炎
内镜检查
幽门螺杆菌
Bile reflux
Gastritis
Gastroscopy
Helicobacter pylori
