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目的研究功能性消化不良病人胃窦与胃体的内镜表现及病理检查的区别。方法2003-03~05对北京友谊医院门诊接受胃镜检查的132例有上消化道症状的病人,根据红斑、糜烂、出血和萎缩4种表现进行内镜评价,按胃黏膜慢性炎症、活动性、萎缩、肠化生、幽门螺旋杆菌和异型增生进行病理评价。分析胃窦与胃体内镜表现及病理的区别。结果胃窦与胃体相比,内镜下红斑和糜烂病变较为多发,P值均<0.01;病理诊断萎缩和慢性炎症,胃窦与胃体之间差异也很显著,P值分别为<0.001和<0.025。结论功能性消化不良病人胃窦与胃体在内镜和病理上存在差异,内镜下红斑和糜烂,以及病理萎缩和慢性炎症,在胃窦比胃体更常见。
Objective To study the difference of endoscopic features and pathological examination between gastric antrum and gastric body in functional dyspepsia patients. Methods From March 2003 to May 2005, 132 patients with upper gastrointestinal symptoms who underwent gastroscopy in Beijing Friendship Hospital were enrolled in this study. According to the endoscopic evaluation of four manifestations of erythema, erosion, hemorrhage and atrophy, according to the chronic inflammation of the gastric mucosa, Atrophy, intestinal metaplasia, Helicobacter pylori and dysplasia pathological evaluation. Analysis of gastric antrum and gastric endoscopy performance and pathological differences. Results Compared with the gastric antrum, the lesions of erythema and erosions were more frequent in the gastric antrum and the P values were all less than 0.01. The pathological diagnosis of atrophy and chronic inflammation were also significant (P <0.001) And <0.025. Conclusion There is difference of endoscopy and pathology between gastric antrum and gastric body in patients with functional dyspepsia. Endoscopic erythema and erosions, pathological atrophy and chronic inflammation are more common in gastric antrum than in gastric body.