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慢性萎缩性胃炎的相关因素及内镜与病理诊断比较的临床意义
http://www.100md.com 陈剑鸣, 龚飞跃
胃炎;内窥镜检查;病理学,陈剑鸣,龚飞跃,通讯作者,:,Correlativefactorsofchronicatrophicgastrit
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     陈剑鸣,龚飞跃,珠海市人民医院(暨南大学第三附属医院)消化内科

    广东省珠海市 519000

    通讯作者:陈剑鸣,519000, 广东省珠海市人民医院(暨南大学第三附属医院)消化内科. cjmclxy@21cn.com

    电话: 0756-2162005

    收稿日期:2005-05-08 接受日期:2005-06-13

    Correlative factors of chronic atrophic gastritis and comparison ofitspathologic and endoscopic diagnosis

    Jian-Ming Chen, Fei-Yue Gong

    Jian-Ming Chen, Fei-Yue Gong, Department of Digestive Diseases,People'sHospital of Zhuhai, 519000 Zhuhai, Guangdong Province, China

    Correspondence to: Jian-Ming Chen, Department of DigestiveDiseases, People'sHospital of Zhuhai, 519000 Zhuhai, Guangdong Province, China. cjmclxy@21cn.com

    Received: 2005-05-08 Accepted: 2005-06-13

    Abstract

    AIM: To investigate the clinical correlative factors of chronicatrophic gastritis (CAG), and to evaluate the significance of thecomparison between the pathologic and endoscopic diagnosis of CAG.

    METHODS: The clinical data of 994 patients, who received gastricendoscopic and pathologic examinations, were collected and statisticallyanalyzed. Then the differences between the endoscopic and pathologicdiagnosis of CAG were assessed.

    RESULTS: There are significant differences between chronic atrophicgastritis and chronic superficial gastritis in mean age, smoking history,heavy drinking and history of gastric or duodenal diseases. The rates ofintestinal metaplasia and active inflammation accompanied with CAG weresignificantly higher than those didn'taccompanied with CAG (91.2%, 76.7% vs 8.8%, 23.3%, r =0.881, P<0.005). The single antrum atrophy was mainly of light and moderate degree, and the rate of the severeantrum and body atrophy was markedly higher than that of the severe antrumatrophy (19.1% and 2.0%, respectively). The coincidence rates betweenendoscopic and pathologic diagnosis were 52.5%, 37.5%, 25% and 8%,respectively, for normality, the single antrum atrophy, the single bodyatrophy, and the antrum and body atrophy.

    CONCLUSION: CAG is associated with multiple factors and mostlyoccurs in the antrum. Pathologically, the active inflammation andintestinal metaplasia were related to the occurrence of CAG. Thecombination of endoscopic and pathologic examination should be used toimprove the diagnosis rate of CAG.

    Key Words: Gastritis; Endoscopy; Pathology

    Chen JM, Gong FY. Correlative factors of chronic atrophic gastritis andcomparison of its pathologic and endoscopic diagnosis. Shijie HuarenXiaohua Zazhi 2005;13(16):2045-2047

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