摘要
目的分析内镜检出的军人胆汁反流性胃炎的临床表现及内镜特征,探讨其发病情况及病因。方法回顾性分析我院消化内镜室2007年5月—2008年5月53例胆汁反流性胃炎患者的临床和胃镜资料,并与同期慢性胃炎进行比较。结果我院消化科门诊及住院军人患者内镜检查共723例,内镜诊断胆汁反流性胃炎53例,检出率达到7.33%,病变部位以胃窦、胃体为主,内镜下主要表现为黏液糊呈黄色或黄绿色胆汁样,胃黏膜上可见胆汁淤块,黏膜充血,变脆或糜烂、出血、斑点。主要病理改变为:黏膜下层水肿,黏膜层血管扩张充血,炎性细胞浸润。快速尿素酶试验单纯性胆汁反流性胃炎患者与同期慢性胃炎患者幽门螺杆菌检测,阳性率分别为39.2%,58.6%。经4周规律性治疗后临床症状消失。结论本病临床表现无特异性(同慢性胃炎),内镜特征具诊断意义。胆汁反流性胃炎患者Hp感染率较慢性胃炎低,认为胆汁反流是本病独特的致病因素。军人因职业特点,胆汁反流性胃炎具有较高发病率。
Objective To study the characteristics of bile regurgitation gastritis （BBG） diagnosed by endoscopy in servicemen. Methods The clinical data of 53 servicemen wit bile regurgitation gastritis （BRG） were reviewed. Results BBG was detected in 53 of 723 servicemen via endoscopy （7.33%）. Endoscopic examination reveals yellow green mucosae and mueosal hyperemia and edema in all the cases, especially in the sinus and distal stomach. The positive rate of helicobacter pylori （Hp） assay was 39.2% in BBG and 58.6% in chomic gastritis. The symptoms clearly reduced or disappeared after four weeks＇ treatment. Conclusion The diagnosis of BRG is mainly based on endoscopy and histopatholagy with clinical symptoms. Bile regurgitation is one of the particular causes of BRG, which has low Hp infection rate and is common in servicemen.
出处
《临床军医杂志》
CAS
2008年第6期923-924,共2页
Clinical Journal of Medical Officers
关键词
军人
胆汁反流性胃炎
serviceman
bile regurgitation gastritis
