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慢性胃炎是常见病,其发病率居各种胃病之首,而其中之慢性萎缩性胃炎发病率又占慢性胃炎的3%~15%,在胃癌高发区中,慢性萎缩性胃炎的发病率多高于15%。纤维胃镜问世以来,有关慢性萎缩性胃炎的临床特点、治疗研究等已有大量报道,但对具有特殊生活习惯的渔民所患萎缩性胃炎的专题论述则未见到。为更好了解渔民萎缩性胃炎的临床特点,我们通过纤维胃镜检查及经胃镜对胃粘膜活组织病理检查,对渔民萎缩性胃炎患者有关情况进行了研究。结果证明:渔民萎缩性胃炎确与国内文献报道不同,主要特点是萎缩性胃炎检出率高。发病年龄偏低以青壮年多、女性患者多。萎缩程度较重、原发性萎缩性胃炎同时合并其它疾病尤其是慢性十二指肠球炎者多;渔民萎缩性胃炎的上述特点可能与渔民特殊生活习惯有关。
Chronic gastritis is a common disease, its incidence ranks first in all kinds of stomach problems, and the incidence of chronic atrophic gastritis which accounts for 3% to 15% of chronic gastritis in the high incidence of gastric cancer, the incidence of chronic atrophic gastritis and more Above 15%. Since the advent of fiberoptic gastroscopy, there have been a lot of reports about the clinical features, treatment research and so on of chronic atrophic gastritis, but the monograph on atrophic gastritis suffered by fishermen with special living habits has not been seen yet. To better understand the clinical features of fishermen with atrophic gastritis, we investigated the gastric mucosal biopsy by fiber endoscopy and endoscopy, and studied the situation of fishermen with atrophic gastritis. The results show that: fishermen atrophic gastritis and reported in the domestic literature is different, the main feature is the high detection rate of atrophic gastritis. Low age of onset to young and old, more female patients. Atrophy is severe, primary atrophic gastritis combined with other diseases, especially chronic duodenal inflammation are more; fisherman atrophic gastritis of the above characteristics may be related to the special habits of fishermen.