疣状胃炎、胃息肉与幽门螺杆菌感染的相关性研究

发布时间：2018-11-17 16:53

【摘要】：目的研究疣状胃炎、胃息肉与幽门螺杆菌(Hp)感染之间的相关性。方法选取疣状胃炎、胃息肉患者各120例作为研究组,另外选取消化性溃疡患者120例作为对照组,每例患者在胃窦距幽门约2~5cm处取1~2块黏膜做快速尿素酶试验,所有患者行13 C呼气试验,二者均阳性即为Hp感染。统计每组患者Hp感染的例数,对数据进行分析。结果疣状胃炎组Hp阳性患者77例,阳性率64.17%;胃息肉组Hp阳性患者41例,阳性率34.7%;消化性溃疡组Hp阳性患者64例,阳性率53.33%。疣状胃炎组Hp阳性率高于消化性溃疡组(P0.05),胃息肉组Hp阳性率低于消化性溃疡组(P0.05)。疣状胃炎组中病理为萎缩和(或)肠化Hp阳性率最高,为72.55%。胃息肉组Hp阳性患者中炎性10例,增生性28例,腺瘤性息肉3例。增生性息肉Hp感染率与炎性息肉、腺瘤性息肉组Hp感染率比较,差异均有统计学意义(P0.05)。结论疣状胃炎的发生与Hp关系密切,胃息肉的发生与Hp感染之间并无显著相关性。胃息肉类型与Hp感染率相关,其中增生性息肉Hp感染率均显著高于炎性息肉及腺瘤性息肉。
[Abstract]:Objective to study the correlation between verrucous gastritis, gastric polyp and Helicobacter pylori (Hp) infection. Methods 120 patients with verrucous gastritis and 120 patients with gastric polyps were selected as study group and 120 patients with peptic ulcer as control group. All patients underwent 13 C breath test and both were positive for Hp infection. The number of patients with Hp infection in each group was counted and the data were analyzed. Results there were 77 cases of Hp positive in verrucous gastritis group (64.17), 41 cases of Hp positive in gastric polyp group (34.7%), 64 cases of Hp positive in peptic ulcer group (53.33%). The positive rate of Hp in verrucous gastritis group was higher than that in peptic ulcer group (P0.05), and the positive rate of Hp in gastric polyp group was lower than that in peptic ulcer group (P0.05). In verrucous gastritis group, the positive rate of atrophy and / or intestinal Hp was the highest (72.55). In gastric polyp group, 10 cases were inflammatory, 28 cases proliferative, 3 cases adenomatous polyps. The Hp infection rate of proliferative polyps was significantly higher than that of inflammatory polyps and adenomatous polyps (P0.05). Conclusion the occurrence of verrucous gastritis is closely related to Hp, and there is no significant correlation between the occurrence of gastric polyps and Hp infection. The type of gastric polyps was correlated with the infection rate of Hp. The Hp infection rate of proliferative polyps was significantly higher than that of inflammatory polyps and adenomatous polyps.
【作者单位】：重庆市南川区人民医院消化内科;重庆市南川区人民医院中医科;
【基金】：重庆市卫生局医学科研计划基金资助项目(2013-2-239)
【分类号】：R573.3

【相似文献】