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目的 探讨残胃与幽门螺杆菌 (Hp)感染的关系。 方法 选择 12 7例残胃病人行胃镜及Hp检测 ,比较不同残胃病变Hp感染情况。 结果 ①毕Ⅰ式和毕Ⅱ式残胃胆汁反流率分别为 2 5 %、5 4 95 % (P <0 0 5 ) ,毕Ⅰ式和毕Ⅱ式残胃Hp检出率分别为 6 1 11%、38 4 6 % (P <0 0 5 )。②术后 <10年、>10年两个年限Hp检出率分别为 5 7 4 1%、35 6 2 % (P <0 0 5 )。③不同病变的残胃中 ,残胃溃疡、残胃癌的Hp感染率明显高于慢性残胃炎、吻合口炎、残胃糜烂。结论 残胃病变与Hp感染有关 ,根治Hp有重要意义。
Objective To investigate the relationship between residual stomach and Helicobacter pylori (Hp) infection. Methods Gastroscopy and Hp detection were performed in 127 cases with gastric residual disease, and Hp infection in different residual gastric lesions was compared. Results ① The rates of residual gastric bile reflux of Bi Ⅰ and Bi Ⅱ were 25% and 545% respectively (P <0.05), and the detection rates of Hp in Bi Ⅰ and Bi Ⅱ were 67 11%, 38 4 6% (P <0 05). ② The detection rates of Hp in two years of postoperative 10 years and> 10 years were respectively 57.41% and 35.62% (P <0.05). ③ different lesions of the residual stomach, residual gastric ulcer, gastric residual Hp infection was significantly higher than chronic residual gastritis, stomatitis, residual stomach erosion. Conclusion Stomach lesions and Hp infection, radical Hp has important significance.