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[不同部位消化性溃疡胃黏膜中间腺的形态计量学变化解读]

[Changes in the intermediary glands of the gastric mucosa in peptic ulcer of different localization in morphometric interpretation].

作者信息

Azarenko V V, Samsonov V A

出版信息

Arkh Patol. 1978;40(2):40-5.

PMID:348163
Abstract

Histologically and morphometrically (by the method of V.A. Samsonov). 80 stomachs resected for peptic ulcers were studied. Intermediary glands without atrophy were found in 16.3% of cases, atrophic changes in 51.2% of cases; in 32.5% of cases they disappeared completely and were substituted mainly by fields of intestinal metaplasia they disappeared completely and were substituted mainly by fields of intestinal metaplasia and pseudopyloric glands. In the atrophic process the number of cells increased in the gastric fossas and decreased in the glands; the gland-fossa epithelial cell index and the ratio of chief and parietal cells decreased. In the epithelial formula of intermediary gland the percentage of secondary and undifferentiated cells increased and that of parietal and particularly chief cells decreased. When the ulcers were localized in the stomach the glands were involved more frequently and extensively than in duodenal ulcers.

摘要

通过组织学和形态测量学方法(采用V.A. 萨姆索诺夫的方法),对80例因消化性溃疡而切除的胃进行了研究。发现16.3%的病例存在无萎缩的中间腺,51.2%的病例有萎缩性改变;32.5%的病例中中间腺完全消失,主要被肠化生区域取代,完全消失并主要被肠化生区域和假幽门腺取代。在萎缩过程中,胃小凹中的细胞数量增加,腺体中的细胞数量减少;腺-小凹上皮细胞指数以及主细胞和壁细胞的比例降低。在中间腺的上皮公式中,次级和未分化细胞的百分比增加,壁细胞尤其是主细胞的百分比降低。当溃疡位于胃时,腺体比十二指肠溃疡更频繁、更广泛地受累。

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