内镜下诊断幽门螺杆菌感染的研究进展

Advances in Study on Endoscopic Diagnosis of Helicobacter pylori Infection

幽门螺杆菌(Hp)感染与慢性胃炎、消化性溃疡、胃腺癌和胃黏膜相关淋巴样组织淋巴瘤等诸多消化道疾病密切相关,早期根除Hp可有效改善疾病预后。与临床常用的诊断方法相比,内镜可在检查原发疾病的同时判断有无Hp感染,具有直观、即时的优势。本文就普通内镜、放大内镜以及一些新技术,如窄带成像、智能分光比色内镜、I-Scan、蓝光成像、联动成像、共聚焦激光显微内镜、人工智能等诊断Hp感染的研究进展作一综述。

Helicobacter pylori(Hp)infection is closely related to many digestive tract diseases such as chronic gastritis,peptic ulcer,gastric adenocarcinoma and gastric mucosa-associated lymphoid tissue lymphoma,and early eradication of Hp can effectively improve the prognosis of these diseases.Compared with the commonly used clinical diagnostic methods,endoscopy can determine whether there is Hp infection while examining the primary disease,which is more visualized and immediate.This article reviewed the advances in study on endoscopic diagnosis of Hp infection,including standard endoscopy,magnifying endoscopy and some new technologies,such as narrow-band imaging,Fuji intelligent chromoendoscopy,I-Scan,blue laser imaging,linked color imaging,confocal laser endomicroscopy,artificial intelligence and so on.