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目的研究慢性胃炎伴隆起糜烂与幽门螺杆菌感染病理结果相关性。方法对胃镜确诊慢性胃炎伴隆起糜烂的106例病人进行快速尿素酶试验及14C-呼气试验,同时进行病理检查,与同期慢性充血渗出型胃炎相比。结果慢性胃炎伴隆起糜烂HP阳性率76.4%,明显高于单纯的慢性充血渗出型胃炎,HP阳性率43.2%(P<0.05)慢性胃炎伴隆起糜烂不典型增生6例,占5.6%,肠上皮化生16例,占15.1%;单纯慢性充血渗出型胃炎不典型增生占1.6%,肠上皮化生占4.9%(P<0.05)。结论慢性胃炎伴隆起糜烂与HP感染病理诊断有一定的相关性,有一定的临床意义。
Objective To study the correlation between chronic gastritis with uplift erosion and pathological results of Helicobacter pylori infection. Methods Fast gas urease test and 14C-breath test were performed on 106 patients diagnosed as chronic gastritis with uplift erosion by gastroscopy. At the same time, pathological examination was performed, compared with chronic congestion exudative gastritis. Results The positive rate of HP in chronic gastritis with uplift and erosion was 76.4%, which was significantly higher than that in pure chronic exudative gastritis. The positive rate of HP was 43.2% (P <0.05). 6 cases were chronic gastritis with uplift erosion atypical hyperplasia, accounting for 5.6% Epithelial metaplasia 16 cases, accounting for 15.1%; simple chronic exudative gastritis atypical hyperplasia accounted for 1.6%, intestinal metaplasia accounted for 4.9% (P <0.05). Conclusion Chronic gastritis with uplift erosion and pathological diagnosis of HP infection have some relevance, have some clinical significance.