应用放大内镜诊断萎缩性胃炎的研究进展

胃小凹的特征性改变,尤其是D型、E型胃小凹的出现极大地提示胃黏膜萎缩的形成。B型到E型4种基本形态胃小凹与肠上皮化生的严重程度之间呈明显正相关,E型是肠化生的特征性改变。幽门螺杆菌是导致胃黏膜萎缩的关键因素。本文综合近几年有关放大内镜诊断萎缩性胃炎的文章,总结既往研究结果,并进行整理和分类。

Diagnostic Progress of Atrophic Gastritis by Magnifying Endoscope

Gastric pit, especially its type D and type E, as featured pathological changes, suggested the genesis of stomach membrane atrophia. Four types of gastric pit from type B and type E has obviouse positive correlation with the severe degree of intestinal metaplasia. Type E is the featured changes of intestinal metaphasia. Helicobacter pylori is the key role resulting in stomach membrane atrophia. This article reviews the related progress of magnifying endoscope in diagnosing atrophic gastritis.