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目的分析食管乳头状瘤(EP)的临床特点及幽门螺杆菌感染情况,从而作出合适的诊治。方法对25例食管乳头状瘤的临床、内镜、病理、14C-尿素呼气试验及治疗资料进行回顾性总结分析。结果食管乳头状瘤临床表现无特异性,病理学检查未见恶变依据,14C-尿素呼气试验阳性6例,内镜下治疗均成功摘除,有1例复发,经再次治疗后未见复发。结论食管乳头状瘤临床表现无特异性,是一种良性肿瘤,与幽门螺杆菌感染无必然关系,内镜治疗效果好。
Objective To analyze the clinical features of esophageal papilloma (EP) and the infection of Helicobacter pylori so as to make proper diagnosis and treatment. Methods The clinical, endoscopic, pathological, 14C-urea breath test and treatment data of 25 patients with esophageal papilloma were retrospectively analyzed. Results The clinical manifestations of esophageal papilloma were nonspecific, pathological examination showed no evidence of malignancy, 14 C-urea breath test was positive in 6 cases, endoscopic treatment were successfully removed, 1 case of recurrence, no recurrence after re-treatment. Conclusion The clinical manifestations of esophageal papilloma is nonspecific, is a benign tumor, and Helicobacter pylori infection is not necessary, endoscopic treatment effect is good.