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时间:2018-10-24
《探讨胃息肉与幽门螺杆菌感染的相关性》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、探讨胃息肉与幽门螺杆菌感染的相关性黑龙江省齐齐哈尔市泰来县泰来镇卫生院162400摘要:目的:研究分析胃息肉与幽门螺杆菌(Hp)感染的相关性。方法:此次研宄的对象是选取2012年5月至2014年12月于我院行胃镜检查者,将其临床资料进行回顾性分析,并随机分为两组,观察组为160例胃息肉患者,对照组为160例慢性胃炎患者,详细记录观察组的病理类型,并对切片进行苏木精-伊红染色及改良吉姆萨染色法镜检,对照组的黏膜组织进行染色镜检,比较不同类型胃息肉的分布及与黏膜组织学改变的关系、两组Hp感染及强度、不同类型胃息肉Hp感染及强度。结果:胃息肉主要分布在
2、胃体和胃底部,增生性息肉多发于胃体和胃底(P<0.05);观察组Hp感染率为57.50%,对照组Hp感染率为50.63%,两组差异有统计学意义(X2=8.87,P<0.05),其中观察组以中低强度感染为主,对照组则以中高强度感染为主;息肉部位与非息肉部位在不同类型的息肉中Hp感染及其强度无统计学差异(X2=1.14,P>;0.05)o在Hp感染率中,增生性息肉与胃底腺息肉差异有统计学意义(X2=7.24,P<0.05)o结论:与慢性胃炎患者相比,胃息肉的发生与Hp感染无统计学相关,Hp感染与不同息肉部位无关,但息肉类型不同,
3、Hp感染程度和感染率有差异。关键词:胃息肉;幽门螺杆菌;胃炎[Abstract]Objective:TostudytherelationshipbetweengastricpolypsandHelicobacterpylori(Hp)infection.Methods:theresearchobjectisselectedinMay2012to2014inDecemberundergoinggastroscopyinourhospital,theclinicaldatawereretrospectivelyanalyzed,andrandomly
4、assignedtotwogroups,observationgroup(160casesofgastricpolypspatients,160casesofchronicgastritispatientsinthecontrolgroup,observationgroup,thepathologicaltypeofdetailedrecordsandthesectionswerehematoxylinandeosinstainingandmodifiedGiemsastainingmicroscopy,controlgroupofmucosat
5、issueswerestainedformicroscopicexamination,thedistributionofdifferenttypesofgastricpolypsandandrelationshipwithpathologicalchangesinmucosa,HPinfectioninthetwogroupsandstrength,differenttypesofgastricpolypofHelicobacterpylori(HP)infectionandstrength.Results:gastricpolypsaremai
6、nlydistributedinthegastricbodyandfundusofthestomach,hyperplasticpolypsmultipleonthegastricbodyandfundus(P<0.05);observationgroupofHPinfectionratewas57.50%,controlgroupofHPinfectionratewas50.63%,thedifferencebetweenthetwogroupshasstatisticalsignificance(X2=8.87,P<0.05).T
7、hepatientsinobservationgroupweretreatedbylowintensityofinfectionmainly,thecontrolgroupwithhighstrengthinfectionwasthemaininfection;positionofpolypsandpolypsindifferenttypesofpolypsinHPinfectionanditsintensitynostatisticaldifference(P>0.05)X2=1.14.IntherateofHpinfection,the
8、rewasasignificantdifferencebetweenhyperplasticpolypandgastricbottomg
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