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胃十二指肠溃疡或溃疡瘢痕患者中幽门螺杆菌感染与一种新型DNA病毒——TT病毒感染之间关联的调查。

Investigation of the association between infection with Helicobacter pylori and with TT virus, a novel DNA virus, in patients with gastroduodenal ulcer or ulcer scar.

作者信息

Toyoda H, Nomura C, Watanabe M, Takahama K, Hobara R, Yokozaki S, Fukuda Y, Nakano H

机构信息

Department of Gastroenterology, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.

出版信息

Eur J Gastroenterol Hepatol. 2000 Dec;12(12):1289-93. doi: 10.1097/00042737-200012120-00005.

Abstract

OBJECTIVE

Recently, a novel DNA virus (TT virus; TTV) has been isolated. Enteric transmission is suggested as a route of transmission of TTV, with high prevalence of this virus infection in the general population, and age and geographical distributions of TTV prevalence very similar to those of Helicobacterpylori infection. We analysed an association between TTV and H. pylori infection in patients with gastroduodenal ulcer or ulcer scar.

METHODS

In 181 patients with a gastroduodenal ulcer or ulcer scar (102 with a gastric lesion, 60 with a duodenal lesion, and 19 with both sites involved), specimens were cultured for H. pylori and TTV infection was sought in serum by a polymerase chain reaction.

RESULTS

H. pylori infection was demonstrated in 152 patients (84.0%) and TTV was detected in 168 patients (92.8%). Patients with TTV were significantly older than those without TTV (P = 0.0001), while no age difference was observed between patients with and without H. pylori infection. No difference was apparent in the prevalence of TTV infection between patients with and without H. pylori infection, and vice versa.

CONCLUSIONS

We found no association between TTV infection and H. pylori infection in patients with peptic ulcer diseases, which is consistent with a lack of association between TTV infection and peptic ulcer. However, larger studies including surveys of the general population will be required to analyse the overall association between TTV and H. pylori.

摘要

目的

最近,一种新型DNA病毒(TT病毒;TTV)已被分离出来。有迹象表明肠道传播是TTV的传播途径之一,该病毒感染在普通人群中普遍存在,且TTV感染的年龄和地理分布与幽门螺杆菌感染非常相似。我们分析了胃十二指肠溃疡或溃疡瘢痕患者中TTV与幽门螺杆菌感染之间的关联。

方法

在181例患有胃十二指肠溃疡或溃疡瘢痕的患者中(102例有胃部病变,60例有十二指肠病变,19例两处均有病变),对标本进行幽门螺杆菌培养,并通过聚合酶链反应在血清中检测TTV感染情况。

结果

152例患者(84.0%)检测出幽门螺杆菌感染,168例患者(92.8%)检测出TTV。感染TTV的患者明显比未感染TTV的患者年龄大(P = 0.0001),而感染和未感染幽门螺杆菌的患者之间未观察到年龄差异。感染和未感染幽门螺杆菌的患者之间TTV感染率无明显差异,反之亦然。

结论

我们发现消化性溃疡疾病患者中TTV感染与幽门螺杆菌感染之间无关联,这与TTV感染和消化性溃疡之间缺乏关联一致。然而,需要开展包括普通人群调查在内的更大规模研究,以分析TTV与幽门螺杆菌之间的总体关联。

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