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[十二指肠炎]

[Duodenitis].

作者信息

Zinsser E, Kühne-Heid R, Bergmann M, Krähenbiel C, Hering C

出版信息

Z Gesamte Inn Med. 1979 Oct 1;34(19):263-5.

PMID:543174
Abstract

In 211 bulboscopies 108 normal findings, 29 duodenal ulcers, 44 cases of scar bulb, 4 times erosions of the bulb and 26 times a bulbitis alone (macroscopically) were found. The macroscopic findings duodenitis were confirmed histologically in 85%, the macroscopic findings normal bulbous mucous membrane only in 30% of the cases. In patients with the histological findings duodenitis the bulbous mucous membrane was endoscopically regarded as normal in 70% of the cases. Patients with duodenitis more frequently have an antrum gastritis and less frequently a corpus gastritis than a control group corresponding to age without any macroscopic changes at the stomach and duodenal bulb. On account of its clinico-therapeutic importance is referred to the fact to demarcate the peptic corrosive bulbitis (bulbitis with bulboscopically probable lesion) from the bulbitis without bulboscopic lesion.

摘要

在211次十二指肠镜检查中,发现108例检查结果正常,29例十二指肠溃疡,44例十二指肠球部瘢痕,4次十二指肠球部糜烂,以及26次单纯球部炎(宏观表现)。十二指肠球炎的宏观表现经组织学证实的占85%,而宏观表现为正常球部黏膜的仅占30%。在组织学检查结果为十二指肠球炎的患者中,70%的病例内镜下球部黏膜被视为正常。与年龄匹配、胃和十二指肠球部无任何宏观变化的对照组相比,十二指肠球炎患者更常伴有胃窦炎,较少伴有胃体炎。鉴于其临床治疗重要性,需指出将消化性腐蚀性球部炎(十二指肠镜检查可能有病变的球部炎)与无十二指肠镜病变的球部炎区分开来这一事实。

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