规范幽门螺杆菌感染诊断,提高诊断准确性

Standardizing Diagnosis of Helicobacter pylori Infection to Improve Diagnostic Accuracy

根除幽门螺杆菌(Hp)是防治慢性胃炎、消化性溃疡和胃癌的重要措施,我国Hp感染处理共识已将“证实有Hp感染”作为根除指征。世界胃肠病学组织指南指出,“治疗所有Hp阳性者,如无意治疗就不要检测”。准确诊断Hp感染是规范化根除治疗的前提。Hp感染的诊断方法多样,各有其优缺点,不同方法适用于不同疾病和患者,每种方法对试剂、设备、检测者和患者都有严格的要求。因此,提高临床医师和检测者对规范诊断的认知,对提高Hp感染诊断的准确性至关重要。

Eradication of Helicobacter pylori(Hp)is important for the prevention and treatment of chronic gastritis,peptic ulcer and gastric cancer.The Chinese consensus on the management of Hp infection has taken“confirmed Hp infection”as an indication for eradication.The World Gastroenterology Organisation global guideline states the“test-and-treat strategy”for Hp infection.Accurate diagnosis of Hp infection is a prerequisite for standardized eradication.There are many methods to diagnose Hp infection.Each has its advantages and disadvantages.Different methods are suitable for different diseases and patients,and each method has strict requirements for reagents,equipment,testers and patients.Therefore,increasing the awareness of physicians and testers about the standardized diagnosis of Hp infection is essential to improve the diagnostic accuracy.