Bao Xiaomin, Yang Huan, Shi Yao, Deng Anchun
Department of Otolaryngology,the Second Affiliated Hospital of Army Medical University,Chongqing,400037,China.
Department of Gastroenterology,the Second Affiliated Hospital of Army Medical University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Oct;34(10):924-927. doi: 10.13201/j.issn.2096-7993.2020.10.013.
To investigate the relationship between Helicobacter pylori(H.pylori) infection and laryngeal lesions. 204 patients with laryngeal lesions were arranged into laryngeal lesions group, and 150 healthy persons who were willing to accept the electronic fiber gastroscopy examination in the same period were selected as control group. The positive rate of H.pylori infection in the two groups was observed and the association between H.pylori infection status and clinical characteristics in patients with laryngeal diseases was analyzed. The positive rate of H.pylori infection in laryngeal lesion group and control group were 56.86% and 47.33%(χ²=3.150, =0.076), respectively. Among the patients with laryngeal lesion, the positive detection rate of H.pylori was not associated with age, gender, or gastric disease history. The positive rate of H.pylori infection in benign lesions, precancerous lesions and laryngeal malignant lesions were 53.70%, 55.56% and 75.00%, respectively. The difference of positive rate of H.pylori infection in laryngeal malignant lesions was significantly higher than other kinds of lesions(χ²=6.338, =0.012). Among laryngeal precancerous lesions and laryngeal malignant lesions patients, the appearance rate of gastrointestinal lesions were significantly higher in the patients with positive H.pylori infection than those without H.pylori infection(<0.05). H.pylori infection was positively related to the severity of laryngeal lesions and highly positively related to laryngeal malignant lesions.
为探讨幽门螺杆菌(H.pylori)感染与喉部病变之间的关系。将204例喉部病变患者纳入喉部病变组,选取同期150例愿意接受电子纤维胃镜检查的健康人作为对照组。观察两组H.pylori感染阳性率,并分析H.pylori感染状况与喉部疾病患者临床特征之间的关联。喉部病变组和对照组H.pylori感染阳性率分别为56.86%和47.33%(χ²=3.150,P=0.076)。在喉部病变患者中,H.pylori阳性检出率与年龄、性别或胃部疾病史无关。良性病变、癌前病变和喉部恶性病变中H.pylori感染阳性率分别为53.70%、55.56%和75.00%。喉部恶性病变中H.pylori感染阳性率差异显著高于其他类型病变(χ²=6.338,P=0.012)。在喉部癌前病变和喉部恶性病变患者中,H.pylori感染阳性患者的胃肠道病变出现率显著高于未感染H.pylori的患者(P<0.05)。H.pylori感染与喉部病变严重程度呈正相关,与喉部恶性病变呈高度正相关。