中华病理学杂志
中華病理學雜誌
중화병이학잡지
Chinese Journal of Pathology
2014年
5期
326-329
,共4页
朱东兵%沙莉%沈小建%环静%王海云
硃東兵%沙莉%瀋小建%環靜%王海雲
주동병%사리%침소건%배정%왕해운
胃粘膜%胃炎%螺杆菌,幽门%免疫组织化学
胃粘膜%胃炎%螺桿菌,幽門%免疫組織化學
위점막%위염%라간균,유문%면역조직화학
Gastric mucosa%Gastritis%Helicobacter pylori%Immunohistochemistry
目的:探讨球形幽门螺杆菌( HP)感染的组织学检测方法及单纯球形HP感染的临床病理学意义。方法采用HE染色、HP检测试剂盒(银染法)及免疫组织化学SP法,检测171例胃黏膜活检标本,观察不同形态HP在黏膜中的定植数量及部位,同时观察胃黏膜病变的相关病理学指标。结果单纯球形 HP 感染组的黏膜糜烂率及炎症活动率分别为36.0%(9/25)和44.0%(11/25),均高于HP阴性者(阳性率分别为13.5%,10/74;24.3%,18/74),但低于同时伴有螺旋状HP感染者(阳性率分别为72.1%,49/68;79.4%,54/68),间质淋巴细胞数量及炎症严重程度均高于HP阴性组,但低于伴有螺旋状HP感染组。结论球形HP具有致病性,单纯球形HP感染时黏膜炎性反应要弱于螺旋状HP,该类病例应成为HP临床研究重点。
目的:探討毬形幽門螺桿菌( HP)感染的組織學檢測方法及單純毬形HP感染的臨床病理學意義。方法採用HE染色、HP檢測試劑盒(銀染法)及免疫組織化學SP法,檢測171例胃黏膜活檢標本,觀察不同形態HP在黏膜中的定植數量及部位,同時觀察胃黏膜病變的相關病理學指標。結果單純毬形 HP 感染組的黏膜糜爛率及炎癥活動率分彆為36.0%(9/25)和44.0%(11/25),均高于HP陰性者(暘性率分彆為13.5%,10/74;24.3%,18/74),但低于同時伴有螺鏇狀HP感染者(暘性率分彆為72.1%,49/68;79.4%,54/68),間質淋巴細胞數量及炎癥嚴重程度均高于HP陰性組,但低于伴有螺鏇狀HP感染組。結論毬形HP具有緻病性,單純毬形HP感染時黏膜炎性反應要弱于螺鏇狀HP,該類病例應成為HP臨床研究重點。
목적:탐토구형유문라간균( HP)감염적조직학검측방법급단순구형HP감염적림상병이학의의。방법채용HE염색、HP검측시제합(은염법)급면역조직화학SP법,검측171례위점막활검표본,관찰불동형태HP재점막중적정식수량급부위,동시관찰위점막병변적상관병이학지표。결과단순구형 HP 감염조적점막미란솔급염증활동솔분별위36.0%(9/25)화44.0%(11/25),균고우HP음성자(양성솔분별위13.5%,10/74;24.3%,18/74),단저우동시반유라선상HP감염자(양성솔분별위72.1%,49/68;79.4%,54/68),간질림파세포수량급염증엄중정도균고우HP음성조,단저우반유라선상HP감염조。결론구형HP구유치병성,단순구형HP감염시점막염성반응요약우라선상HP,해류병례응성위HP림상연구중점。
Objective To study the detection method of coccoid helicobacter pylori ( HP) and to investigate the significance of pure coccoid HP infection of gastric mucous membrane.Methods A total of 171 gastric biopsy specimens were reviewed by HE stain ,and the presence , density and tissue distribution of HP were investigated by sliver stain and immunohistochemistry ( S-P method ).Results The rates of mucosal erosion and active inflammation with the presence of pure coccoid HP infection were 36.0%(9/25) and 44.0%(11/25), respectively, both higher than those without HP infection (13.5%,10/74;24.3%, 18/74), while lower than those infected with spiral HP (72.1%,49/68;79.4%,54/68).The quantity of interstitial lymphocyte and inflammation severity were also higher than those without HP infection , while lower than those with spiral HP infection.Conclusions Pure coccoid HP causes human gastritis , similar to that of spiral HP infection but at a lesser degree.Further studies are important to confirm its clinical significance.