Fujimaki S, Sato N, Hoshino A, Ebina H, Funato T, Kawamura T, Toyohara T
Department of Clinical Laboratory, Tohoku University Hospital, Sendai.
Rinsho Byori. 1993 Dec;41(12):1328-32.
There are several methods for detecting Helicobacter pylori (H.pylori) infection, but all of them have both advantage and disadvantage. In this study, we investigated the usefulness of PCR as a routine screening method for H.pylori infection. We used PCR by identification of bacterial specific 16SrRNA gene. This test was performed on gastric biopsy specimens and gastric aspirate and stomatic mucus from 23 patients in gastric disease, and compared the sensitivity with other methods such as urease and culture test. We could detect H.pylori above 10(3)/ml of bacterial volume by PCR and H.pylori were positive in 96% of all gastric biopsy specimens. PCR was most sensitive and specific method for detecting H.pylori. Thus, PCR was considered to have a possibility of becoming an accurate routine screening method of H.pylori infection.
检测幽门螺杆菌(H.pylori)感染有多种方法,但所有方法都各有优缺点。在本研究中,我们调查了聚合酶链反应(PCR)作为H.pylori感染常规筛查方法的实用性。我们通过鉴定细菌特异性16SrRNA基因来使用PCR。该检测在23例胃病患者的胃活检标本、胃抽吸物和口腔黏液上进行,并将其敏感性与其他方法如尿素酶和培养试验进行比较。通过PCR我们能够检测到细菌量高于10³/ml的幽门螺杆菌,并且所有胃活检标本中有96%的幽门螺杆菌呈阳性。PCR是检测幽门螺杆菌最敏感和特异的方法。因此,PCR被认为有可能成为一种准确的H.pylori感染常规筛查方法。