摘要
目的 :探讨DIXON积分法在胆汁返流性胃炎病理诊断中的意义。方法 :选取我院 1 998年 5月～ 2 0 0 0年5月间行胃黏膜活检部分病例共 2 95例 ,从中选取BillrothⅡ病例 77例 ,作为残胃组 ;68例为胆汁返流组 ;1 0 0例为非胆汁返流组。常规HE染色按DIXON法进行病理形态学积分 ,同时记录幽门螺杆菌 (Helicobaetor Pylori,HP)的感染情况。结果 :毕 -Ⅱ占 37.7% ,显性返流符合 2 3 .2 % ,非返流组仅为 6 %。毕 -Ⅱ及显性返流组与非返流组的DIXON积分值有显著差异 ,HP亦少于非返流组 ,两组相比亦有显著差异。结论 :DIXON胆汁返流积分法可作为胆汁返流性胃炎的诊断指标。HP是否可作为一种胆汁返流性胃炎的诊断的指标 ,有待于进一步研究。
Objective:To evaluate the significance of DIXON score criteria in the pathologic diagnosis of the bile reflux gastirtis.Method:295 gastric mucoses biopsy were selected from 1998.5 to 2000.5in our hospital. Hematoxylin-Eosin and helico-bacteria methlene blue staining were used on the routinel paraffin embeded section and according to the DIXON score criteria,77 gastric remnant mucosas(Billroth Ⅱ ),68 dominant reflux cases(without gastroectomy) and 100 nonrefluxes (without gastroectomy) were analized.The helico-bacteria in them were also considered.Results:The concidence ratio in the groups of Billroth Ⅱ ,dominant reflux and non-reflux were, 37.7% ,23.2%, 6% separately. Significant difference was found between Billroth Ⅱ groups ,reflux group and non-reflux group .Conclusion:'DINOX Reflux score' system could be used for the diagnosis of reflux gastritis .The alkaline muroeniroment doesn't suit for the growth of helico-bacferia.whether it could be regarded as a criteria for the diagnosis of reflux gastritis,or not is waiting for further research.
出处
《中国内镜杂志》
CSCD
2003年第1期56-57,59,共3页
China Journal of Endoscopy
关键词
胃黏膜
胆汁返流性胃炎
DIXON积分
HP
Gastric Mucosa Bile Reflux Gastritis
DIXON Reflux Core System
Helico-Bacteria
