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[胃十二指肠溃疡患者胃底腺主细胞与壁细胞的上皮公式及关系]

[Epithelial formula and relationship between the chief and parietal cells of fundal gastric glands in gastric and duodenal ulcer].

作者信息

Samsonov V A, Azarenko V V

出版信息

Arkh Patol. 1977;39(4):62-7.

PMID:880060
Abstract

The fundic glands of 143 stomachs resected in connection with peptic ulcer, including those localized in the stomach (70 observations) and in the duodenum (73 observations) were studied. The number of epithelial cells in the longitudinal section of the fundic gland in ulcer of the stomach was most often in the range of 100 to 149 (in 37 cases of 70), in duodenal ulcer--150 to 199 (in 36 observations of 73). In patients with duodenal ulcer, as distinct from those with gastric ulcer, the epithelial formula of the fundic gland was characterized by a lower content of non-differentiated and mucous neck cells and by a greater number of chief cells, the hyperpepsinogenic cellular shift (a rise of the content of chief cells up to 50% and more) in them was observed 4-5 times more often. The ratio index of chief and parietal cells in gastric ulcer (in 75.7% of cases) was usually in the range of 1--1.9 (tentative norm) and only in some cases (in 18.6% of observations) it was higher. In duodenal ulcer an elevated index was observed in 54.8% of cases.

摘要

对143例因消化性溃疡而切除的胃的胃底腺进行了研究,包括位于胃内的(70例观察)和十二指肠内的(73例观察)。胃内溃疡患者胃底腺纵切面上上皮细胞数量大多在100至149个范围内(70例中有37例),十二指肠溃疡患者为150至199个(73例观察中有36例)。与胃溃疡患者不同,十二指肠溃疡患者胃底腺的上皮细胞构成特点是未分化细胞和黏液颈细胞含量较低,主细胞数量较多,胃蛋白酶原生成细胞移位增多(主细胞含量增加至50%及以上)的情况在十二指肠溃疡患者中出现的频率比胃溃疡患者高4至5倍。胃溃疡患者主细胞与壁细胞的比例指数(75.7%的病例)通常在1至1.9范围内(暂定正常范围),仅在某些病例(18.6%的观察)中高于此值。十二指肠溃疡患者中,54.8%的病例该指数升高。

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