北海地区530例上消化道疾病幽门螺杆菌检测结果分析

Outcome Analysis of Determination of Hp in 530 Patients with Disease of Upper Digestive Tract

探讨了北海地区上消化道疾病幽门螺杆菌 (Hp)的感染情况和比较了胃黏膜直接涂片法及快速尿素酶检测的实际应用意义。两种方法对 5 30例上消化道疾病的 Hp检出率分别为 5 3.0 2 %和 5 3.5 6 %,两种方法符合率达 95 .70 %。慢性浅表性胃炎 Hp感染率最高达 5 7.6 7%,十二指肠球部溃疡次之 ,为 5 2 .11%。胆汁返流性胃炎及胃癌 Hp感染较低 ,分别为 31.2 5 %、33.33%。本组提示 Hp感染与上消化道疾病密切相关 ,因此 ,对上消化道疾病进行 Hp检测 ,对治疗上消化道疾病有较大临床意义。

In this article, different infections of helicobacter pylori (Hp) in different diseases of upper digestive tract were dicussed and gastric mucosa direct smear was compared with fast determination of urea enzyme for Hp. The detectable rates of both methods for Hp in the diseases of upper digestive tract of 530 patients were 53.02 % and 53.56 % respectively, showing a coincidence rate of 95.7 %. The highest infection rate of Hp detected from chronic superficial gastritis was 57.67 %,and the Hp in duodenal ampulla ulcer has an infection rate of 52.11 %, slightly inferior to that in chronic superficial gastritis. The infection rates of Hp in bile-regurgitational gastritis and in gastric carcinoma were 31.25 % and 33.33 % respectively. This study is suggestive of a close correlation between Hp infection and diseases of upper digestive tract. Examination of diseases of upper digestive tract for Hp infection is therefore of clinical significance in the treatment of diseases of upper digestive tract.