残胃与幽门螺杆菌感染关系的研究

The relationship between gastric remnant and helicobacter pylori

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 discuss the relationship between gastric remnant and helicobacter pylori(Hp).Methods One hundred and twenty-seven patietns with remnant stomach were choosed and examined by the gastroscope,rapid urease test and 14 C-urea breath test.Hp infection in the patients with different types of remnant stomach was compared.Results (1)The rates of bilireflux of Billroth Ⅰ and Billroth Ⅱ operation were 25% and 54.95% respectively(P<0.05).The rates of Hp infection of Billroth Ⅰ and Billroth Ⅱ ope...