CAJ | 학술논문

目的探讨本地区老年人胃息肉与幽门螺杆菌(Hp)感染的关系,进一步探讨根除Hp对部分胃息肉的治疗价值.方法对我院2004年至2009年经胃镜活检及病理诊断的116例胃息肉老年人Hp感染情况进行分析,并与同期胃镜检查为慢性胃窦炎且病理报告静止期的86例对照组老年人Hp感染情况进行比较.结果老年人胃息肉组Hp感染率为58.6%(68/116),对照组Hp感染率为43.0%(37/86),两组比较差异有统计学意义(P<0.05).59例Hp检查阳性胃炎性及增生性息肉患者经根除Hp治疗,2～6个月后复查胃镜发现40例息肉消失.结论 Hp感染与老年人胃息肉有相关性,说明胃息肉的发生、发展可能与Hp感染有关.故对Hp阳性胃炎性息肉及增生性息肉在行息肉摘除术前可先尝试Hp根除治疗,可使部分息肉消失.
목적 탐토본지구노년인위식육여유문라간균(Hp)감염적관계,진일보탐토근제Hp대부분위식육적치료개치.방법 대아원2004년지2009년경위경활검급병리진단적116례위식육노년인Hp감염정황진행분석,병여동기위경검사위만성위두염차병리보고정지기적86례대조조노년인Hp감염정황진행비교.결과 노년인위식육조Hp감염솔위58.6%(68/116),대조조Hp감염솔위43.0%(37/86),량조비교차이유통계학의의(P<0.05).59례Hp검사양성위염성급증생성식육환자경근제Hp치료,2～6개월후복사위경발현40례식육소실.결론 Hp감염여노년인위식육유상관성,설명위식육적발생、발전가능여Hp감염유관.고대Hp양성위염성식육급증생성식육재행식육적제술전가선상시Hp근제치료,가사부분식육소실.
Objective To explore the relationship between gastric polyps in elderly and helicobacter pyloi(Hp) infection in Zhanjiang. Methods One hundred and sixteen elderly patients with gastric polyps were selected.Gastroscpic and histologic mucosal changes were diagnosed by gastroscope and pathology, and was compared with normal elderly. Results Hp infection rates were 58.6% in gastric polyp group and 43.0% in control group.There was significant difference between the two groups.Fifty-nine cases of Hp inflammatory gastric polyps completed eradication and 40 cases of endoscopic polyps had disappeared after 3 to 6 months.Conclusions There is significant relationship between gastric polyps and Hp infection in elderly.However,the occurrence and development of gastritis polyps and hyperplastic polyps maybe related to Hp infection.Some gastric polyps may disappeared after the eradication of Hp might be tried.