近焦窄带成像内镜下胃炎分类判断胃幽门螺杆菌感染及病理的价值  

The value of near focus narrow band imaging endoscopic classification of gastritis in the diagnosis of Helicobacter pylori infection and pathology

作　　者：孔红祥 杨健 龙海华 庞丽萍 叶会兰 吴丽 黄鲜 Kong Hongxiang;Yang Jian;Long Haihua;Pang Liping;Ye Huilan;Wu Li;Huang Xian(Department of Gastroenterology,Liuzhou Municipal Liutie Central Hospital,Liuzhou 545000,China;不详)

机构地区：[1]柳铁中心医院消化内科,柳州545000 [2]柳州市妇幼保健院内科

出　　处：《中国临床保健杂志》2024年第1期120-123,共4页Chinese Journal of Clinical Healthcare

基　　金：广西壮族自治区卫生健康委员会自筹经费科研项目(Z20210190)。

摘　　要：目的探讨近焦窄带成像内镜下胃炎分类判断胃幽门螺杆菌(Hp)感染、胃黏膜慢性炎症、活动性及萎缩性病理诊断的价值。方法选取2021年4月至2022年3月在柳州市妇保健院行胃镜检查并同时行病理活检且年龄≥18岁的439例受检者为研究对象。根据近焦窄带成像模式下胃体下部小弯侧胃炎分类及Hp检测结果、胃黏膜病理,分析近焦窄带成像内镜下胃炎分类与Hp感染及胃黏膜病理状态的相关性。结果B-0-1、B-2-3、A-1-2型Hp感染率分别为57.63%、92.59%和95.65%,B-2-3、A-1-2型胃黏膜Hp感染率明显高于B-0-1型(P<0.0167),但B-2-3、A-1-2型胃黏膜Hp感染率两者之间差异无统计学意义;在胃黏膜慢性炎症及活动性方面,B-0-1、B-2-3、A-1-2型严重程度依次递增(P<0.0167);在萎缩病变的判断上,A-1-2型对胃黏膜萎缩的判断有很高的诊断效能,与B-0-1、B-2-3型差异有统计学意义(P<0.0167)。结论近焦窄带成像内镜下根据胃炎分类判断Hp感染及病理状态具有较高的准确性。Objective To explore the value of near focus narrow band imaging endoscopic classification of gastritis in the diagnosis of Helicobacter pylori(Hp)infection,chronic inflammation,activity and atrophy of gastric mucosa.Methods A total of 439 patients aged≥18 years who underwent gastroscopy and pathological biopsy in Liuzhou Maternal and Child Health Hospital from April 2021 to March 2022 were selected.According to the classification of gastritis in the small curvature of the lower part of the stomach,the results of Hp detection and the pathology of the gastric mucosa under the near focus narrow band imaging mode,the correlation between the classification of gastritis under the near focus narrow band imaging endoscope with the Hp infection and the pathological status of the gastric mucosa was analyzed.Results The Hp infection rates of B-0-1,B-2-3 and A-1-2 types were 57.63%,92.59%and 95.65%respectively。The Hp infection rates of B-2-3 and A-1-2 types were significantly higher than B-0-1 type(P<0.0167),but there was no significant difference between B-2-3 and A-1-2 type gastric mucosal in Hp infection rates。In terms of gastric mucosal chronic inflammation and activity,the severity of B-0-1,B-2-3,and A-1-2 types increased in turn(P<0.0167).In the judgment of atrophy,A-1-2 type had a high diagnostic efficiency in the judgment of gastric mucosal atrophy,which was significantly different from B-0-1 and B-2-3 type(P<0.0167).Conclusions The classification of gastritis under narrow band imaging endoscopy has high accuracy in judging Hp infection and pathological status.

关 键 词：胃炎 幽门螺杆菌 内窥镜检查 胃肠道 胃炎 萎缩性 胃黏膜 

分 类 号：R573.1[医药卫生—消化系统]