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目的：研究胃部疾病患者粪便中的转铁蛋白试验（Tf）与免疫隐血试验（Hb）。方法收集143例经胃镜检查的胃部患者，其中胃癌38例，萎缩性胃炎46例，非萎缩性胃炎59例，比较所有患者的粪便转铁蛋白试验与免疫隐血试验结果。结果胃癌患者Tf阳性率为（81.6%）、Hb阳性率为（57.9%），萎缩性胃炎患者 Tf阳性率为（58.7%）、Hb阳性率为（41.3%），非萎缩性胃炎患者Tf阳性率为（11.9%）、Hb阳性率为（8.5%）。胃癌患者Tf阳性率显著高于 Hb阳性率（χ2=4.28，P<0.05），并显著高于萎缩性胃炎患者Tf阳性率（χ2=5.03，P<0.05）及非萎缩性胃炎患者Tf阳性率（χ2=5.18，P<0.05）。萎缩性胃炎患者 Tf阳性率高于 Hb阳性率（χ2=3.93，P0.05）。结论胃癌患者粪便转铁蛋白试验的敏感性明显高于免疫隐血试验。“,”Objective To compare the transferring protein(Tf) with the hemoglobin(Hb) in the stool of patients with stomach disease. Methods 143 patients with study the stomach disease were col ected, of which 38 cases were the gastric carcinoma, 46 cases were the atrophic gastritis, and 59 cases were the non-atrophic gastritis. The stool Tf and Hb were tested and then compared in al the patients. Results The positive ratio of Tf was 81.6%in the gastric carcinoma patients, 58.7%in the atrophic gastritis patients, and 11.9% in the non-atrophic gastritis patients respectively. The positive ratio of Hb was 57.9% in the gastric carcinoma patients,41.3% in the atrophic gastritis patients, and 8.5% in the non-atrophic gastritis patients respectively. The positive ratio of Tf was higher than that of Hb in the gastric carcinoma patients (χ2=4.28,P<0.05), also higher than that of Tf in the atrophic gastritis patients (χ2=5.03,P<0.05)and non-atrophic gastritis patients (χ2=5.18,P<0.05)respectively. The Tf positive ratio was higher than the Hb positive ratio in the atrophic gastritis patients (χ2=3.93,P0.05). Conclusion Tf was a more sensitive index than Hb in gastric carcinoma.