鸡皮样胃炎的幽门螺杆菌感染情况及临床、病理特征分析OA
Analysis of Helicobacter pylori infection and clinical-pathological features in chicken skin-like gastritis
目的 探讨北京市某三级医院鸡皮样胃炎患者的幽门螺杆菌(Hp)感染情况、临床表现及病理特征,从病理学角度解析其发生发展机制,以提高临床医生对该疾病的认识和早期诊断能力,实现早期干预,降低胃癌发病率.方法 回顾性选取2020年10月至2021年11月北京市某三级医院104例经内镜诊断鸡皮样胃炎的患者作为研究组,并选取同期120例慢性非萎缩性胃炎患者作为对照组,比较两组的Hp感染率、临床表现及病理方面的差异.结果 鸡皮样胃炎好发于年轻女性,其Hp感染率高于对照组,差异有统计学意义(P<0.05).临床表现以上腹痛(30.7%)为主,值得注意的是,有28.8%的患者无任何症状.内镜下典型表现为胃窦部黏膜出现密集的结节样改变;病理组织学检查显示所有患者(100%)均存在显著的淋巴滤泡增生.结论 鸡皮样胃炎与Hp感染高度相关,好发于年轻女性,其典型的内镜及病理学表现是早期诊断的重要依据.
Objective To explore the Helicobacter pylori(Hp)infection status,clinical manifestations,and pathological features of patients with chicken skin-like gastritis in a tertiary hospital in Beijing,and to analyze its pathogenesis from a pathological perspective,aiming to enhance clinicians' understanding and early diagnostic capability for this disease,achieve early intervention,and reduce the incidence of gastric cancer.Methods A total of 104 patients diagnosed with chicken skin-like gastritis via endoscopy at a tertiary hospital in Beijing from October 2020 to November 2021 were retrospectively selected as the study group.Additionally,120 patients with chronic non-atrophic gastritis during the same period were chosen as the control group.The differences in Hp infection rate,clinical manifestations,and pathological features between the two groups were compared.Results Chicken skin-like gastritis predominantly affected young females,and its Hp infection rate was higher than that of the control group,with a statistically significant difference(P<0.05).The primary clinical manifestation was epigastric pain(30.7%).Notably,28.8%of patients were completely asymptomatic.Endoscopically,the typical presentation involved densely distributed nodular changes in the gastric antral mucosa.Histopathological examination revealed significant lymphoid follicle hyperplasia in all patients(100%).Conclusion Chicken skin-like gastritis is highly associated with Hp infection and is more common in young women.Its characteristic endoscopic and pathological presentations are crucial for early diagnosis.
高艳红;黎俊;孔令红;刘颖;董丽凤
北京市垂杨柳医院消化内科,北京 100022北京市垂杨柳医院消化内科,北京 100022北京市垂杨柳医院病理科,北京 100022北京市垂杨柳医院消化内科,北京 100022北京市垂杨柳医院消化内科,北京 100022
医药卫生
鸡皮样胃炎幽门螺杆菌结节状胃炎京都胃炎
Chicken skin-like gastritisHelicobacter pyloriNodular gastritisKyoto gastritis
《中国当代医药》 2026 (6)
35-38,4
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