摘要
目的 通过对残胃粘膜幽门螺杆菌 (Hp)感染情况的检测 ,探讨残胃病变与Hp的关系。方法 将残胃组 71例和对照组 71例的Hp感染率进行比较 ,并对不同手术方式、有否胆汁返流及不同手术年限的残胃Hp感染情况进行比较分析。结果 残胃组与对照组Hp检出率分别 2 5 3 5 %、5 7 7% (P <0 .0 1)。Billroth Ⅰ式和Billroth Ⅱ式残胃胆汁返流发生率分别为 4 3 4 % ,60 % (P<0 .0 1)术后 4月～ 5年 ,6～ 10年 ,>10年者Hp检出率分别为 2 9 2 %、2 3 5 %、0 ,前二个年龄段与后者比较差异显著 (P <0 .0 1)。另有吻合口线结残留 5例 ,胃息肉 3例 ,残胃再生癌 3例、后二者的Hp阳性率均为 0。结论 残胃的Hp感染有其自身的特点 ,Hp感染是残胃炎发生的重要病因。Billroth Ⅱ式较Billroth Ⅰ式的胆汁返流率为高 (P <0 .0 1)。而伴有胆汁返流者的Hp感染率却较低。另外行胃大部切除术后的年限越长 ,其Hp的感染率也越低。
Aim To study the relationship between remnant stomach and Hp infection by Hp detection of remnant gastric mucosa.Methods Hp positive rate in 71 cases of remnant stomach were compared with 71 control cases,and the influence of operation methods,bile reflux and operation time on infection status were analyzed.Results Hp was detected in 25.35% of remnant stomach and 57.7% in control cases (P<0.01). The remnant gastric bile reflux percentage in patients operated by Billroth Ⅰ and Ⅱwas 4.34% and 60%(P<0.01).The Hp positive percentage of post operation from 4 months to 6 years,6～10 years and more than 10 years was 29.2%,23.5% and 0 respectively.There was significant difference between the Hp positive rate less than 10 years and that more than 10 years(P<0.01).Strings were found in 5 cases.Polypus were found in 3 cases and remnant gastric recurrence carcinoma in 3 cases,in which Hp were negative.Conclusion Hp infection is an important lesion in remnant gastritis.The bile reflux is more common while the Hp infection is lower in remnant gastritis.The bile reflux is more common while the Hp infection is lower in patients operated by Billroth Ⅱ.The longer partial gastroectomy is done,the lower Hp infection rate is.
出处
《胃肠病学和肝病学杂志》
CAS
2000年第4期293-294,共2页
Chinese Journal of Gastroenterology and Hepatology
关键词
残胃炎
幽门螺杆菌
感染率
流行病学
Remnant gastritis Helicobacter pylori Infection rate
