中国临床保健杂志2024，Vol.27Issue(1)：120-123,4.DOI:10.3969/J.issn.1672-6790.2024.01.025
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 Helico-bacter pylori infection and pathology
摘要
Abstract
Objective To explore the value of near focus narrow band imaging endoscopic classification of gas-tritis in the diagnosis of Helicobacter pylori(Hp)infection,chronic inflammation,activity and atrophy of gastric muco-sa.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 gas-tritis 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％re-spectively.The Hp infection rates of B-2-3 and A-1-2 types were significantly higher than B-0-1 type(P＜0.016 7),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＜0.016 7).In the judgment of atrophy,A-1-2 type had a high diagnostic efficiency in the judgment of gastric mucosal at-rophy,which was significantly different from B-0-1 and B-2-3 type(P＜0.016 7).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Key words
Gastritis/Helicobacter pylori/Endoscopy,gastrointestinal/Gastritis,atrophic/Gastric mucosa引用本文复制引用
孔红祥,杨健,龙海华,庞丽萍,叶会兰,吴丽,黄鲜..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[J].中国临床保健杂志,2024,27(1):120-123,4.基金项目
广西壮族自治区卫生健康委员会自筹经费科研项目(Z20210190) （Z20210190）
