疣状胃炎938例临床分析

Clinical analysis of 938 cases of verrucous gastritis

目的探讨疣状胃炎的临床表现、胃镜及病理、Hp感染率。方法对938例疣状胃炎患者的临床表现、胃镜下特点,病理及Hp感染等情况进行回顾性分析。结果疣状胃炎的临床表现缺乏特异性,主要表现为非特异性的上消化道症状。胃镜下特点主要发生在胃窦幽门区,胃黏膜上形成带脐窝的隆起性病变,部分以幽门为中心呈串珠样排列。年龄以28～55岁为多,男性多于女性。病理报告均有不同程度的炎症,部分伴有肠上皮化生及不典型增生。结论胃镜是诊断该病的最佳方法,Hp感染与该病的发生有关。

[Objective] To investigate the performance,endoscopy features,pathology and HP infection of verrucous gastritis.[Methods] 938 cases of verrucous gastritis clinical manifestations,endoscopic features,pathology,and HP infection were retrospectively analyzed.[Results] Verrucous gastritis lacked of specific clinical manifestations,mainly non-specific upper gastrointestinal symptoms.Endoscopic features mainly in the pyloric antrum,gastric umbilical fossa was formed with protuberant lesions,as the central part of the pylorus was beaded arrangement.The age was 28 to 55 years and more men than women.Pathology report indicated varying degrees of inflammation,in part associated with intestinal metaplasia and dysplasia.[Conclusions] Gastroscopy is the best way to diagnose the disease,HP infection concerned with the occurrence of the diseases.