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目的:探讨疣状胃炎的临床表现、内镜及病理特点。方法:对1 351例患者的临床、病理及Hp等进行回顾性分析。结果:疣状胃炎的临床症状缺乏特异性。胃镜下特点为:胃黏膜上形成带脐窝的隆起性病变,主要发生部位在胃窦部831例(61.5%),其次是胃体胃窦部351例(26%)。男性多于女性。病理检查都有不同程度的炎症,有的伴有肠上皮化生及不典型增生。Hp阳性感染率为56.2%。结论:胃镜检查是诊断该病的最佳手段。Hp感染与该病的发生有关。因此,Hp阳性者应予抗Hp治疗。
Objective: To investigate the clinical manifestations, endoscopy and pathological features of verrucous gastritis. Methods: The clinical, pathological and Hp of 1 351 patients were retrospectively analyzed. Results: The clinical symptoms of verrucous gastritis lack specificity. Gastroscopy was characterized by the formation of a bulging umbilical fossa on the gastric mucosa, with 831 cases (61.5%) of the antrum and 351 cases (26%) of the gastric antrum. More men than women. Pathological examination has varying degrees of inflammation, and some accompanied by intestinal metaplasia and dysplasia. Hp-positive infection rate was 56.2%. Conclusion: Gastroscopy is the best way to diagnose the disease. Hp infection and the occurrence of the disease. Therefore, Hp positive should be anti-Hp treatment.