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本文对胃癌高发区(山东省牟平县)成年人群1038人进行了 HP 感染的检查。每例均做内镜、快速尿素酶试验及四块胃粘膜活检组织学检查。结果显示:1.以 CLO、WS 同时阳性做为判断 HP 阳性的标准,活动性胃炎的HP 感染率最高84.66%,其次是十二指肠溃疡:84.21%,胃溃疡:81.25%,慢性浅表性胃炎:62.87%,慢性萎缩性胃炎:58.55%。2.以 WS 阳性做为判断 HP 阳性的标准,HP 在胃内分布以胃底部阳性率最高:61.51%,其次为体小弯:55.66%,窦大弯:51.24%,窦小弯:50.85%,胃底部 HP 阳性率明显高于胃窦部:P<0.01。3.活检取胃底加体小弯两块组织的 HP 阳性率接近于取四块组织的 HP 阳性率。
In this paper, 1038 adults with high incidence of gastric cancer (Fuping County, Shandong Province) were examined for HP infection. Endoscopy, rapid urease test, and histological examination of four gastric biopsies were performed in each case. The results showed that: 1. Using CLO and WS as positive criteria for judging HP positive, HP infection rate of active gastritis was highest 84.66%, followed by duodenal ulcer: 84.21%, gastric ulcer: 81.25%, chronic superficial Gastritis: 62.87%, chronic atrophic gastritis: 58.55%. 2. Using WS-positive as the criterion for judging HP-positive, HP had the highest positive rate at the bottom of the stomach: 61.51%, followed by minor bends: 55.66%, sinus bends: 51.24%, sinus small bends: 50.85. %, HP positive rate at the bottom of the stomach was significantly higher than that in the gastric antrum: P<0.01. 3. The positive rate of HP in the two tissues of the gastric fundus plus small curve was close to the rate of HP positive in four tissues.