糜烂性胃炎756例内镜分析

目的：探讨内镜下糜烂性胃炎（EG）的特点。方法：回顾性分析756例EG的内镜资料。结果：胃窦炎的病变程度与胃体炎差异无显著性（P＞0.05），合并十二指肠溃疡30.0％，胃溃疡12.6％，有较高的肠化检出率（36.4％），幽门螺杆菌（Hp）与糜烂类型、糜烂程度、有无肠化生及不典型增生，差异均无显著性（P＞0.05），与有无炎症活动及炎症程度差异均有显著性（P＜0.005）。结论：EG内镜下分型及病变程度的划分，对病情判断和治疗随访有指导意义；要积极治疗肠化生和不典型增生；Hp可以促使该病的发展。

Endoscopic analysis for 756 cases of erosive gastritis

Objective:To explore the characteristics of endoscopic erosivegastritis(EG).Methods:Seven hundred fifty-six cases of EG were analyzed retrospectively according to endoscopic data.Results:There was no significant difference between antrum gastritis and corpus ventriculi gastritis(P＞0.05).The disease not only concurred the duodenal ulcer(30.0%) and gastric ulcer(12.6%),but seemed to appear the highly identified rate of intestinal metaplasia(36.4%) as well.The positive rate of Helicobacter pyloni(H.pylori) among the various of erosive types and extents,and with or without complicating intestinal metaplasia and atypical proliferation,appeared no significant difference(P＞0.05);but between the patients with or without active inflammatory extent,there was significant difference(P＜0.005).Conclusions:Distinguishing endoscopic type and extent of erosive gastritis may show a instructive value for evaluating the state of illness treatment and follow-up;the intestinal metaplasia and atypical proliferation must be treated actively;the infection of H*pylori may promote the process of EG.