摘要
Abstract
Objective:To analyze the examination results of white light endoscopy,narrow-band imaging and Kyoto gastritis score in patients with chronic gastritis and Helicobacter pylori(Hp)infection.Method:Clinical data of 84 patients with chronic gastritis treated in the Second Affiliated Hospital of Yichun University from January 2021 to August 2023 were retrospectively analyzed,and they were divided into groups according to whether Hp infection occurred or not.Among them,59 patients with Hp infection were included in the infected group,and the remaining 25 patients were included in the uninfected group.The changes of gastric mucosa(atrophy,diffuse redness,intestinal metaplasia,hyperplastic polyp,xanthochroma,chicken skin mucosa,plica enlargement and serpentine shape)under white light endoscopy,the morphological distribution of gastric pit(types A,B,C,D,E)and collecting veins(types R,I,D)under narrow-band imaging were compared between the two groups,and the Kyoto gastritis score was compared between the two groups.Result:Under white light endoscopy,the proportion of atrophy,intestinal metaplasia,hyperplastic polyp,xanthochroma,plica enlargement and serpentine shape in infected group were significantly higher than those in uninfected group,the differences were statistically significant(P<0.05).There were no significant differences in the proportion of diffuse redness and chicken skin mucosa between the two groups(P>0.05).The proportion of type A,B and C of gastric pit in infected group were significantly lower than those in uninfected group,the proportion of type D and E were significantly higher than those in uninfected group,the differences were statistically significant(P<0.05).The proportion of type I and type D of collecting veins in infected group were significantly higher than those in uninfected group,the differences were statistically significant(P<0.05).The kyoto gastritis scores of chicken skin mucosa,diffuse redness,atrophy,intestinal metaplasia and plica enlargement in the infected group were significantly higher than those in the uninfected group(P<0.05).Conclusion:The results of white light endoscopy,narrow-band imaging and Kyoto gastritis score in patients with chronic gastritis and Hp infection are different from those in chronic gastritis patients without Hp infection.The pathological status of chronic gastritis patients can be observed by the above detection methods,which can be used as one of the auxiliary means for clinical detection of Hp infection.关键词
幽门螺杆菌/慢性胃炎/白光内镜/窄带成像/京都胃炎评分Key words
Helicobacter pylori/Chronic gastritis/White light endoscopy/Narrow-band imaging/Kyoto gastritis
