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早期胃癌中幽门螺杆菌的临床病理研究

[Clinico-pathological study of Helicobacter pylori in early gastric cancer].

作者信息

Handa Y, Misaka R, Kawaguchi M, Saitoh T

机构信息

Fourth Department of Internal Medicine, Tokyo Medical College.

出版信息

Nihon Rinsho. 1993 Dec;51(12):3249-54.

PMID:8283642
Abstract

The role of Helicobacter pylori (Hp) infection in the pathogenesis of various gastric diseases is an important but unresolved issue. To investigate the association between Hp and the histological findings of the stomach in patients of early gastric cancer, the prevalence of Hp in gastric mucosa and the mucosal alterations were examined histo-pathologically in the surgically resected stomach of 30 cases with early gastric cancer. Serum IgG antibodies for Hp were determined in these cases. All 30 cases had evidence of Hp infection in resected stomach and 90% had Hp antibodies in their serum. There was no evidence of direct association between Hp and gastric cancer histopathologically, although it is considered that chronic gastritis (atrophy and intestinal metaplasia) are implicated in Hp infection.

摘要

幽门螺杆菌(Hp)感染在各种胃部疾病发病机制中的作用是一个重要但尚未解决的问题。为了研究早期胃癌患者中Hp与胃部组织学表现之间的关联,对30例早期胃癌手术切除胃的胃黏膜中Hp的患病率及黏膜改变进行了组织病理学检查。测定了这些病例中针对Hp的血清IgG抗体。所有30例切除的胃中均有Hp感染证据,90%的患者血清中有Hp抗体。尽管认为慢性胃炎(萎缩和肠化生)与Hp感染有关,但从组织病理学上没有证据表明Hp与胃癌有直接关联。

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