防治幽门螺杆菌感染是预防胃癌的必经之路  

Prevention and treatment of Helicobacter pylori infection is a feasible way to prevent gastric cancer

作　　者：周显祝 杜奕奇[1] ZHOU Xian-zhu;DU Yi-qi(Department of Gastroenterology,The First Affiliated Hospital of Naval Medical University(Second Military Medical University),Shanghai 200433,China)

机构地区：[1]海军军医大学(第二军医大学)第一附属医院消化内科,上海200433

出　　处：《海军军医大学学报》2022年第12期1349-1355,共7页Academic Journal of Naval Medical University

基　　金：上海市卫生健康委员会先进适宜技术推广项目(2019SY001)。

摘　　要：我国是消化道肿瘤高发国家,也是胃癌发病率和幽门螺杆菌(H. pylori)感染率双高国家。H. pylori是胃癌的明确致癌物,同时也是胃癌最重要的可控危险因素。根除H. pylori的时机越早越好,对于已发生肠上皮化生的患者通过根除H. pylori也可获益。H. pylori感染的管理策略已经从“检测和治疗“”筛查和治疗”向“以家庭为单位防控”转变。筛查并根除H. pylori是降低我国胃癌发生率的可行途径。China is a country with a high incidence of gastrointestinal cancer, as well as a country with a high incidence of gastric cancer and a high infection rate of Helicobacter pylori(H. pylori). H. pylori is a definite carcinogen of gastric cancer, hence is the most important controllable risk factor of gastric cancer. The earlier to eradicate H. pylori,the better outcomes could be obtained. For patients with intestinal metaplasia, can also benefit from eradicating H. pylori.The management strategy for H. pylori infection has been changed from “test and treat”, “screening and treat” to “familybased prevention and control”. Screening and eradicating H. pylori is a feasible way to reduce the incidence of gastric cancer in China.

关 键 词：胃肿瘤 筛查 幽门螺杆菌 根除治疗 预防 

分 类 号：R735.2[医药卫生—肿瘤]