CAJ | 학술논문

目的：总结胃石症及其并发溃疡的内镜特点，探讨其形成与幽门螺杆菌（H.pylori）的关系。方法：选取2006年6月-2014年5月本院收集的62例胃镜诊断胃石症患者，对胃石症及其并发溃疡的内镜特点进行分析；行14C呼气试验测定H.pylori；按胃石症数目分为单发和多发（≥2枚）胃石两组，按胃石大小分为<5 cm和≥5 cm两组，按胃石症有无并发溃疡分为两组，记录各组H.pylori感染例数，比较各组的H.pylori感染发生有无差异。结果：62例胃石症患者中，胃石位于胃底腔者33例（53.23%），单发胃石者47例（75.81%），最大直径约2.5~11.0 cm；无论H.pylori是否阳性，胃石症均以单发为主，小于5 cm者较多；胃石症患者H.pylori阳性率56.45%（35/62）；H.pylori阳性病例中多发胃石者百分比例（34.29%）较H.pylori阴性者（11.11%）高（P<0.05），胃石症大小分布与H.pylori感染关系无关（P>0.05）。34例（54.84%）胃石症患者并发有溃疡，以胃溃疡为多见，部位以胃角和/或胃窦为主；有并发溃疡者H.pylori感染率（64.71%，22/34）较无并发溃疡者（46.43%，13/28）稍高，但差异无统计学意义（P>0.05）。结论：胃石症以单发为主，小于5 cm者居多，常并发胃溃疡；H.pylori感染可能与胃石形成有关，而与并发症溃疡关系不大。
목적：총결위석증급기병발궤양적내경특점，탐토기형성여유문라간균（H.pylori）적관계。방법：선취2006년6월-2014년5월본원수집적62례위경진단위석증환자，대위석증급기병발궤양적내경특점진행분석；행14C호기시험측정H.pylori；안위석증수목분위단발화다발（≥2매）위석량조，안위석대소분위<5 cm화≥5 cm량조，안위석증유무병발궤양분위량조，기록각조H.pylori감염례수，비교각조적H.pylori감염발생유무차이。결과：62례위석증환자중，위석위우위저강자33례（53.23%），단발위석자47례（75.81%），최대직경약2.5~11.0 cm；무론H.pylori시부양성，위석증균이단발위주，소우5 cm자교다；위석증환자H.pylori양성솔56.45%（35/62）；H.pylori양성병례중다발위석자백분비례（34.29%）교H.pylori음성자（11.11%）고（P<0.05），위석증대소분포여H.pylori감염관계무관（P>0.05）。34례（54.84%）위석증환자병발유궤양，이위궤양위다견，부위이위각화/혹위두위주；유병발궤양자H.pylori감염솔（64.71%，22/34）교무병발궤양자（46.43%，13/28）초고，단차이무통계학의의（P>0.05）。결론：위석증이단발위주，소우5 cm자거다，상병발위궤양；H.pylori감염가능여위석형성유관，이여병발증궤양관계불대。
Objective:To summarize the endoscopic features of gastric bezoars and their complicating ulcer and to analyze its formation and the relationship between helicobacter pylori(H.pylori).Method:The clinical data of 62 patients who were diagnosed to have gastric bezoars by gastroscopy from June 2006 to May 2014 were selected.The endoscopic features of gastric bezoars and their complicating ulcer were analysed and H.pylori was detected by 14C-urea breath test.The 62 patients who had gastric bezoars were divided into two groups by whether the number of gastric bezoars was more than 2, whether the size of gastric bezoars was greater than 5 cm and whether gastric bezoars had ulcer complication.The patients infected by H.pylori were registered and the occurrence of H.pylori infection were compared in each group.Result:In 62 patients with gastric bezoars,the number of patients which their gastric bezoars located in fundus of stomach were 33 cases (53.23%),47 cases(75.81%)were the single gastric bezoars,and the maximum diameter of gastric bezoars varied from 2.5 to 11.0 cm;whether H.pylori infection was positive,most gastric bezoars were usually single and the size of gastric bezoars were usually less than 5 cm.The infection rate of H.pylori was 56.45%(35/62)in 62 patients with gastric bezoars. The percentage rate of multiple gastric bezoars(34.29%)in H.pylori-positive patients was higher than that(11.11%)in H.pylori-negative patients(P<0.05).There was no correlation between the size distribution of gastric bezoars and H.pylori infection(P>0.05).34 cases(54.84%)with gastric bezoars were complicated with ulcer.Most ulcer were gastric ulcer and they were mostly located in angle of stomach or antrum of stomach.The infection rate of H.pylori(64.71%,22/34)in gastric bezoars complicated by ulcer was higher than that(46.43%,13/28)in gastric bezoars not complicated by ulcer, but the difference between two groups was not statistically significant(P>0.05).Conclusion:Gastric bezoars are usually single,the size of most gastric bezoars is less than 5 cm,and gastric bezoars usually have complicated ulcer.H.pylori infection may be correlated with formation of gastric bezoars,not to complicated ulcer.