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[幽门螺杆菌在胃炎和消化性溃疡患者中的发生率]

[Occurrence of Campylobacter pylori in patients with gastritis and peptic ulcer].

作者信息

Carneiro Leão G, Magalhães Filho M, Galvão L P, Machado R C, Padovan I P, Jucá N T, Lira V M, Magalhães M

机构信息

Departamento de Medicina Clínica, do Centro de Ciências da Saúde da Universidade, Federal de Pernambuco.

出版信息

Arq Gastroenterol. 1988 Jan-Mar;25(1):23-8.

PMID:3223826
Abstract

Endoscopic biopsies from the gastric antrum and margin of peptic ulcers (gastric and duodenal) were obtained from 56 patients for histologic and microbiologic studies in order to establish the occurrence of Campylobacter pylori. Thirty nine of them had antral gastritis and in 37 (94.8%) the bacteria was detected. In 17 cases with normal mucosa the culture was positive in only 2 of them (p less than 0.01). Patients with duodenal and gastric ulcer had a 100% and 88.8%, respectively, of positivity to C. pylori at samples from the margin of the lesions. Bacteriologic findings were similar to those described in the literature. At the electronic microscopy bacilli were found near or adhering to the cellular surface without signs of intraepithelial penetration. This study confirms the association between C. pylori and gastritis and peptic gastroduodenal ulcer.

摘要

为确定幽门弯曲菌的感染情况,从56例患者的胃窦及消化性溃疡(胃溃疡和十二指肠溃疡)边缘获取内镜活检组织,进行组织学和微生物学研究。其中39例有胃窦炎,37例(94.8%)检测到该细菌。17例黏膜正常的患者中,仅2例培养结果呈阳性(p<0.01)。十二指肠溃疡和胃溃疡患者病变边缘样本中幽门弯曲菌的阳性率分别为100%和88.8%。细菌学检查结果与文献报道相似。电子显微镜检查发现杆菌靠近或附着于细胞表面,无上皮内侵入迹象。本研究证实了幽门弯曲菌与胃炎及消化性胃十二指肠溃疡之间的关联。

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