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51.
52.
王玉玲 《兰州大学学报(医学版)》1998,24(2):40-42
目的:探讨幽门螺杆菌(HP)感染与消化性溃疡(PU)及年龄、性别的关系。方法:采用快速尿素酶和组织H-E染色法对119例PU病人进行HP感染检测,其中男性96例、女性23例,以上二种方法测定结果均阳性定为HP感染。然后将这些病例按年龄分为三组,即青年组33例,中年组78例和老年组8例。结果:HP总感染率:胃溃疡78.6%,十二指肠球溃疡63.6%,幽门管溃疡66.7%及复合溃疡62.5%,该结果与以前报道相同。各种溃疡的HP感染率在各年龄组间比较及男、女性别间比较无显著性差异(P均>0.05)。结论:HP感染与PU关系密切,与性别无关,并不与年龄成正比上升。 相似文献
53.
目的:观察超氧化物歧化酶(SOD)和脂质过氧化物(LPO)在消化性溃疡(PU)治疗前后变化,以探索其对PU发病和愈合作用。方法:用SUN法和于树玉法分别测定PU患者血及组织中铜锌超氧化物歧化酶(Cu ZnSOD)活性和LPO含量。结果:180例十二指肠溃疡(DU)和42例胃溃疡(GU)患者粘膜和红细胞中Cu ZnSOD活性比正常组显著降低(P<0.01~0.001)。136例DU组织及血中和15例GU组织中LPO含量比正常组显著升高(P<001~0.001)。用呋喃唑酮、雷尼替丁和洛赛克分别治疗50、20和24例DU患者两周后组织中Cu ZnSOD活性比治疗前明显升高(P<0.01~0.001)。组织中LPO含量比治疗前明显降低(P<0005~0.001)。组织和红细胞中Cu ZnSOD活性从活动期→愈合期→瘢痕期逐渐升高,而LPO含量则逐渐降低。结论:粘膜组织中Cu ZnSOD活性和LPO含量升降与消化性溃疡的愈合和发病密切相关。 相似文献
54.
目的:通过贲门溃疡胃镜下表现的分析,探讨贲门良性溃疡与恶性溃疡的区别及并发症的差异.方法:纤维胃镜检查的同时采取相应部位的病理标本并行病理学检查,记数资料采用卡方检验比较差异性.结果:病例共104例,其中良性溃疡66例,恶性溃疡30例,癌前病变8例,恶性溃疡73%合并有慢性萎缩性胃炎,良性溃疡25%合并有十二指肠球部溃疡.结论:贲门良性溃疡(16/66)与十二指肠疾患密切相关,恶性溃疡(22/30)于慢性萎缩性胃炎密切相关,临床工作中遇有慢性萎缩性胃炎患者,应高度警惕,定期随访,及时发现恶变. 相似文献
55.
TheClinicalEfectsofAlantoinPowderforGargleonPeriodontalDiseasesandAphthousUlcerYuWeiyi(俞未一)SunWeibin(孙卫斌)DepartmentofStomatol... 相似文献
56.
Takeo MAEKAWA Kiyotaka YABUKI Koichi SATO Takanori HABA Kaoru OGAWA Michio MATSUMOTO 《Digestive endoscopy》1998,10(1):46-50
Abstract: A 63-year-old man was hospitalized because of jaundice and anorexia. An upper gastrointestinal series and hypotonic duodenography revealed circumferential sclerosis and stenosis of the duodenal wall. Endoscopic examination disclosed an ulcer, the upper margin of which was located at the papilla of Vater. The papilla was situated in the base of the ulcer. Endoscopic retrograde cholangiopancreatography disclosed mild dilatation of the common bile, intrahepatic bile and pancreatic ducts, but with neither severe stenosis nor occlusion. Nevertheless, there was some degree of circumferential compression and mild stenosis of the terminal portions of the bile and pancreatic ducts, as potential causes of obstructive jaundice in this patient. Computed tomographic examination of the abdomen revealed a tumorous lesion at the duodenal bulb. Because malignancy in the duodenum could not be ruled out, a pancreatoduodenectomy was performed. Histopathological examination showed a postbulbar duodenal ulcer, associated with inflammation of the papillary orifice and fibrosis of the region near the papilla. There was no evidence of a tumorous lesion. In this case, a postbulbar duodenal ulcer may have caused obstructive jaundice. 相似文献
57.
58.
Combined laparoscopic and endoscopic treatment of perforated gastroduodenal ulcer using the ligamentum teres hepatis (LTH) 总被引:2,自引:2,他引:0
We propose a novel technique for laparoscopic treatment of perforated gastroduodenal ulcers. The principle of this procedure involves the closure of the perforated ulcer using the ligamentum teres hepatis (LTH). The LTH is cut near its umbilical end and then dissected up to the site of its hepatic insertion. The umbilical extremity of LTH is grasped with a Dormia noose passed through the ulcerated perforation via a gastroscope. Using the noose, the LTH is pulled through the ulcerated perforation until its volume fits and completely closes the perforation. This laparoscopic technique was performed in 15 patients (12 M, 3 F) with anterior perforated duodenal ulcer revealed within the previous 6 h. The procedure could not be performed in three cases: diameter of the perforation exceeding 1.5 cm (n=1), general purulent peritonitis (n=2). In the other 12 cases, closure of the ulcerated perforation with the LTH was realized without technical difficulty. The postoperative course was uncomplicated. The posttreatment comfort was excellent; the mean period of hospitalization was 10 days (range, 8–14 days). An endoscopic examination carried out following 5 weeks of anti-H2 treatment showed that cicatrization of the ulcer was good and that no pyloric stenosis remained. These initial results suggest that laparoscopic treatment of perforated gastroduodenal ulcer using the LTH is a simple procedure which can be performed with general assurance of success in patients whose perforated ulcers have occurred quite recently. As the laparoscopic procedure is less aggressive than a laparotomy, it enhances the postoperative comfort of patients and prevents the risk of parietal complications. Compared to laparoscopic endosuture this procedure is simple, effective, easier, and particularly adapted to large ulcerated perforation or when an ulcer's edges are tough or friable, tending to tear when knots are tied.Presented at the annual meeting of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), Nashville, TN, USA, 18–19 April 1994. 相似文献
59.
Kevin R. Dye Barry J. Marshall Henry F. Frierson Jr Richard L. Guerrant Richard W. McCallum 《Digestive diseases and sciences》1989,34(11):1787-1791
Summary
Campylobacter pylori may not be the only organism that causes active chronic gastritis in man. We report two cases of gastric infection with a spiral organism distinct fromC. pylori. The first patient is a 36-year-old female who presented with epigastric pain and abdominal colic present since childhood and who had 14 cats. Endoscopy was normal. The second patient kept two dogs. Histology of gastric mucosal biopsy specimens in both patients revealed active chronic gastritis, most severe in body mucosa. Giemsa stain revealed bacteria with four to eight spirals, 0.5 m in diameter and 3–7 m in length. The organisms had multiple sheathed flagella at the pole and smooth cell walls without axial filaments. The organisms resembled the gastric spirillum that has been seen in cats, dogs, and nonhuman primates. After antibacterial therapy with bismuth subsalicylate, amoxicillin, and metronidazole, the organisms disappeared in both patients and the gastritis healed.UnlikeC. pylori, this new spirillum prefers to colonize gastric mucosa containing parietal cells. Whereas this type of organism is a common commensal in other mammals, it appears to be associated with and a possible cause of gastritis in humans. 相似文献
60.