细胞学刷检作为诊断幽门螺杆菌感染的一种简单快速的方法。
Cytologic brushing as a simple and rapid method in the diagnosis of Helicobacter pylori infection.
作者信息
Narváez Rodríguez I, Saez de Santamaría J, Alcalde Rubio M M, Pascasio Acevedo J M, Pabón Jaén M, Campos de Orellana A M, Soria Monge A
机构信息
Department of Internal Medicine, Infanta Cristina University Hospital, Badajoz, Spain.
出版信息
Acta Cytol. 1995 Sep-Oct;39(5):916-9.
OBJECTIVE
To assess broad antral cytologic brushing as an alternative approach for the diagnosis of Helicobacter pylori gastric colonization as compared to histology.
STUDY DESIGN
Multiple gastric biopsies were taken from the antrum of 117 patients with an endoscopic appearance compatible with antral gastritis. Broad antral brushing was also obtained, and smears were stained with Papanicolaou stain.
RESULTS
Chronic gastritis was diagnosed histopathologically in 93 patients. H pylori was identified in 115 cytologic smears. Cytologic smears from 97 patients with H pylori on biopsy specimens contained the organisms. Only two poor-quality cytologic smears with no H pylori had the organisms on biopsy specimens. In 18 patients, H pylori was identified on the cytologic smears and not on the biopsy specimens.
CONCLUSION
Broad antral cytologic brushing is a useful alternative approach to histology for the diagnosis of H pylori gastric infection.
目的
评估与组织学检查相比，广泛的胃窦细胞学刷检作为诊断幽门螺杆菌胃定植的替代方法。
研究设计
从117例内镜表现符合胃窦炎的患者胃窦取多个胃活检组织。同时进行广泛的胃窦刷检，并将涂片用巴氏染色法染色。
结果
93例患者经组织病理学诊断为慢性胃炎。115份细胞学涂片检出幽门螺杆菌。97例活检标本中幽门螺杆菌阳性患者的细胞学涂片含有该菌。仅有2份质量较差且细胞学涂片未检出幽门螺杆菌的标本在活检标本中发现该菌。18例患者的细胞学涂片检出幽门螺杆菌，而活检标本未检出。
结论
广泛的胃窦细胞学刷检是诊断幽门螺杆菌胃感染的一种有用的替代组织学检查的方法。
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