CAJ | 학술논문

目的：探讨内镜下糜烂性胃炎(EG)的特点。方法：回顾性分析756例EG的内镜资料。结果：胃窦炎的病变程度与胃体炎差异无显著性(P＞0.05)，合并十二指肠溃疡30.0%，胃溃疡12.6%，有较高的肠化生检出率(36.4%)，幽门螺杆菌(Hp)与糜烂类型、糜烂程度、有无肠化生及不典型增生，差异均无显著性(P＞0.05)，与有无炎症活动及炎症程度差异均有显著性(P＜0.005)。结论：EG内镜下分型及病变程度的划分，对病情判断和治疗随访有指导意义；要积极治疗肠化生和不典型增生；Hp可以促使该病的发展。
목적：탐토내경하미란성위염(EG)적특점。방법：회고성분석756례EG적내경자료。결과：위두염적병변정도여위체염차이무현저성(P＞0.05)，합병십이지장궤양30.0%，위궤양12.6%，유교고적장화생검출솔(36.4%)，유문라간균(Hp)여미란류형、미란정도、유무장화생급불전형증생，차이균무현저성(P＞0.05)，여유무염증활동급염증정도차이균유현저성(P＜0.005)。결론：EG내경하분형급병변정도적화분，대병정판단화치료수방유지도의의；요적겁치료장화생화불전형증생；Hp가이촉사해병적발전。
Objective:To explore the characteristics of endoscopic erosivegastritis(EG).Methods:Seven hundred fifty-six cases of EG were analyzed retrospectively according to endoscopic data.Results:There was no significant difference between antrum gastritis and corpus ventriculi gastritis(P＞0.05).The disease not only concurred the duodenal ulcer(30.0%) and gastric ulcer(12.6%),but seemed to appear the highly identified rate of intestinal metaplasia(36.4%) as well.The positive rate of Helicobacter pyloni(H.pylori) among the various of erosive types and extents,and with or without complicating intestinal metaplasia and atypical proliferation,appeared no significant difference(P＞0.05);but between the patients with or without active inflammatory extent,there was significant difference(P＜0.005).Conclusions:Distinguishing endoscopic type and extent of erosive gastritis may show a instructive value for evaluating the state of illness treatment and follow-up;the intestinal metaplasia and atypical proliferation must be treated actively;the infection of H*pylori may promote the process of EG.