戴立里 吴显才 400010,重庆医科大学第二医院消化科. 中华肝脏病杂志 1999 0 7 1


    关键词：高血压，门脉性 幽门螺旋杆菌 胃病 期刊 zhgzbzz 0 临床研究 fur -->


    

摘要 目的 了解门静脉高压患者胃幽门螺旋杆菌(H.Pylori)感染及意义。方法 应用胃镜，胃粘膜组织学检查和HP培养，调查135例门静脉高压患者，对照组为42例无肝病史的非溃疡性消化不良患者。结果 门静脉高压组，伴充血性胃病者63例，17例检出HP感染(27%)；无充血性胃病者72例，18例检出HP(25%)。对照组42例，HP感染23例(55%)。门静脉高压性胃病HP感染低于对照组，充血性胃病存在及程度与HP感染无关。结论 不应视HP感染为门静脉高压性胃病的发病原因，对肝硬化无须常规作HP根除治疗。

    

Helicobacter pylori and congestivegastropathy

DAI Lili,WU Xianchai

Second Affiliated Hospital,ChongqingDepartment of Gastroenterology Medical University,Chongqing 400010

Abstract Objective This study evaluates the prevalence and significance of Helicobacter pylori(H.pylori)infection in patients with portal hypertension.Methods 177 patients wereselectecd,Among whom,135 patients with portal hypertension and 42 noncirrhotic patientswith nonulcerative dyspepsia as a control group.In all patients diagnostic upper endoscopywas performed and gastric biopsies were taken for histological examination and diagnosisof H.pylori infection.Results Of the portal hypertensive pateints,63patients had congestive gastropathy,17(27%) of whom were positive for H.pylori infectionand 72 patients did not have gastropathy,18(25%) of whom were positive for H.pyloriinfection.In the control group 23 of 42(55%) were positive for H.pylori infection.H.pyloriwas found less frequently in congestive gastropathy patients than in the control group.Wealso found that the presence and severity of congestive gastropathy is independent of theH.pylori status.Conclusion The role of H.pylori infection in thepathogenesis of congestive gastropathy seems to be unlikely and we suggest that there isno need for its routine eradication in cirrhotic patients.

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