胃窦炎_____胃窦炎；幽门螺杆菌；放射学；钡餐；双对比

幽门螺杆菌阳性和阴性胃窦炎双对比影像特征比较及其临床意义分析

http://www.100md.com 《中华现代影像学杂志》 2000年第3期

胃窦炎,,胃窦炎；幽门螺杆菌；放射学；钡餐；双对比,1资料与方法,2结果,3讨论,【参考文献】

     【摘要】目的比较分析幽门螺杆菌阳性和阴性胃窦炎各自的X线双对比影像特征，并分析其临床意义。方法按统一标准对所获材料进行筛选和回顾性分析。各X线征象诊断标准：胃黏膜皱襞宽度≥5mm即诊断为胃黏膜皱襞增厚(胃窦炎)，按常规诊断胃溃疡、胃黏膜糜烂和胃黏膜脱垂。统计分析各X线征象和幽门螺杆菌感染的关系。结果共筛选出173例患者，其中89例幽门螺杆菌阳性，84例阴性。幽门螺杆菌阳性病例中有胃黏膜皱襞增厚80例(89.89%)，胃黏膜脱垂15例(16.85%)，胃溃疡5例(5.62%)和胃黏膜糜烂9例(10.11%)，幽门螺杆菌阴性病例中则分别有47例(55.95%)(P<0.001)、2例(2.38%)(P<0.001)、8例(9.52%)(P>0.05)和11例(13.10%)(P>0.05)。结论上消化道气钡双对比检查时发现胃黏膜增厚或胃黏膜脱垂，一般表示有幽门螺杆菌感染的存在；而发现胃黏膜糜烂或胃溃疡时，一般表示不一定有幽门螺杆菌的存在，但从其临床意义上讲，却可能较前者更严重，其中小部分可能发展成为胃癌。

    【关键词】胃窦炎；幽门螺杆菌；放射学；钡餐；双对比

    Comparison of the features of double contrast barium between Helicobacter pylori positive and negative antral gastritis and its clinical significance

    QIAN Xuequn,GU Qiang,WEN Feng,et al.

    Department of Radiology,The People’s Hospital,Pudong New Area,Shanghai 201200,China

    【Abstract】 Objective To compare the features of double contrast barium studies of Helicobacter pylori(H.pylori) positive and negative antral gastritis,and to analyze its clinical significance.Methods Six hundred and thirtysix patients who had undergone double contrast upper gastrointestinal tract examinations(GI) were screened and retrospectively studied.The screening standards were:(1)The pathological tests of H.pylori were performed within 6 months before or after GI.(2)Antral gastritis was proven by gastroscopy and pathological biopsy,and the possibilities of malignant tumor were excluded.(3)The GI images were clear and the diagnosis no controversial.The diagnosis standards were:(1)folds which were 5 mm or greater in width were defined as thickened folds.(2)prolapses,erosions and ulcers were defined under the traditional diagnosis standards.A statistical analysis of the data was performed with Fishers Exact test.Results According to the screening standards,the materials of 173 cases among the 636 cases were studied.Of the 173 cases,89 cases were found to be H.pylori positive and 84 cases were found to be H.pylori negative.Thickened folds were detected in 80 (89.89%) H.pyloripositive cases vs 47 (55.95%) H.pylorinegative cases (P<0.001);prolapses in 15 (16.85%) H.pyloripositive cases vs 2 (2.38%) H.pylorinegative cases (P<0.001);ulcers in 5 (5.62%) H.pyloripositive cases vs 8 (9.52%) H.pylorinegative cases (P>0.05);erosions in 9 (10.11%) H.pyloripositive cases vs 11 (13.10%) H.pylorinegative cases (P>0.05).Conclusion When thickened folds or prolapses are detected at the GI,the infection of H.pylori could be diagnosed;when ulcers or erosions were detected,the diagnosis could not established yet.As to clinical extend,the latter might be more severe than the former of which some may develope into gastric cancer. ......

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