胃大部切除术式与幽门螺杆菌感染相关性的研究

被引：4

作者：

章才干 ^{[1
]}

郑华君 ^{[2
]}

陈晓亮 ^{[3
]}

机构：

[1] 浙江省淳安县卫生局

[2] 浙江中医学院附属新华医院

[3] 杭州市第四医院

来源：

浙江临床医学 | 2008年 / 06期

关键词：

BillrothI式; BillrothII式; 胆汁反流; 幽门螺杆菌;

D O I：

暂无

中图分类号：

R656.6 [胃、十二指肠];

学科分类号：

100201 [内科学];

摘要：

目的观察BillrothI式和BillrothII式术后、胆汁反流与残胃幽门螺杆菌(HP)感染之间的关系。方法残胃组患者101例,其中BillrothⅠ式58例,BillrothII式43例,同期未手术患者4501例作为对照组。残胃组内又分别根据HP、胆汁反流与否、反流程度分层比较。以快速尿素酶试验法及改良Giemsa染色检测HP。结果残胃组HP感染率(21.79%)显著低于对照组(41.16%),两组之间比较具有统计学意义(p<0.05);BillrothI式组HP感染率为21.43%、BillrothII式组HP感染率为22.22%,两组比较无统计学意义;BillrothI式组胆汁反流阳性率57.14%与BillrothII式组的88.89%相比较具有统计学意义(p<0.001);残胃胆汁反流阳性患者HP感染率为35.44%、胆汁反流阴性患者HP感染率为45.45%,两组比较具有统计学意义(p<0.01);残胃组患者不同程度胆汁反流的HP感染率之间无统计学意义;不同程度胆汁反流的HP现患比均<1.0。结论残胃HP感染率低于未手术者,胆汁反流是HP感染的保护因素,但与HP感染严重程度无线性关系。

引用

页码：735 / 736

页数：2

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