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由于胃粘膜的改变使很多原是胆囊疾病而按胃炎或胃溃疡治疗其结果疗效不佳。本文报告207例胆囊炎胃粘膜改变的情况,旨在正确的诊断与治疗之。1 资料与方法1.1 临床资料 1990年1月至1999年1月作者经手诊治的207例慢性胆囊炎病人(A组)均做胃镜检查。男100例,女107例;年龄17～76岁;高峰年龄组40～59岁,女性较多。207例中结石性胆囊炎101例,非结石性胆囊炎106例。130例非胆囊炎作对照组(B组)进行胃镜检查,男59例,女71例;年龄20～70岁。两组共337例均不同程度嗳气、返酸、上腹不适和疼痛,15例有呕吐,3例呕血、黑便。1.2 方法 观察胃粘膜图像和病理活组织检查相结合。胆囊疾患应用B型超声波图或口服胆囊造影剂,同时排除胰腺疾患、慢性肝炎、肾功能不全和应用甾体抗炎药物等。
Due to changes in gastric mucosa so many are gallbladder disease and gastritis or gastric ulcer treatment of its poor outcome. This article reports 207 cases of cholecystitis gastric mucosal changes, aimed at the correct diagnosis and treatment. 1 Materials and Methods 1.1 Clinical data January 1990 to January 1999 by the author’s diagnosis and treatment of 207 cases of chronic cholecystitis patients (group A) were gastroscopy. 100 males and 107 females; aged 17 to 76 years; peak age group 40 to 59 years old, more women. 207 cases of stone cholecystitis in 101 cases, 106 cases of non-calcific cholecystitis. 130 cases of non-cholecystitis as control group (B group) gastroscopy, 59 males and 71 females; aged 20 to 70 years. A total of 337 cases in both groups were different levels of nausea, acid reflux, abdominal discomfort and pain, 15 cases of vomiting, 3 cases of hematemesis, melena. 1.2 methods to observe gastric mucosal images and pathological biopsy combined. Gallbladder disease application of B-mode ultrasound or oral gallbladder contrast agent, while excluding pancreatic disorders, chronic hepatitis, renal insufficiency and the application of steroidal anti-inflammatory drugs.