慢性非萎缩性胃炎诊断方法与标准的研究进展
Research Progress of Chronic Non-Atrophic Gastritis Diagnostic Methods and Diagnostic Criteria
摘要: 慢性非萎缩性胃炎(CSG)是最为常见的消化系统疾病之一,其发病率约占慢性胃炎的59.3%,但因其症状与体征缺乏特异性、内镜下表现的不典型性,所以在临床上漏诊率与误诊率均较高,目前国内外医学界对慢性非萎缩性胃炎尚无明确的诊断标准,本文深入探讨了病理检查、胃镜检查、胃黏膜的血色素含量血色素指数测定、幽门螺杆菌检测、超敏C-反应蛋白检验对诊断CSG的意义,并对CSG诊断方法与诊断标准提出建议
Abstract: Chronic non-atrophic gastritis (CSG) is one of the most common diseases in the digestive system, the incidence of which is about 59.3%. Since the lack of specific symptoms or signs, and no typical features on endoscopy, the rate of missed diagnosis and misdiagnosis of CSG is very high. Currently, there are no clear clinical diagnostic criteria applied to CSG. This article discusses the factors including pathologic examination, endoscopy, index of hemoglobin, Helicobacter pylori, HS-CRP, which have the diagnosis significance to CSG, and gives suggestions to CSG diagnostic methods and diagnostic criteria.
文章引用:张磊, 郭岩. 慢性非萎缩性胃炎诊断方法与标准的研究进展[J]. 临床医学进展, 2014, 4(1): 5-9. http://dx.doi.org/10.12677/ACM.2014.41002

参考文献

[1] 中华医学会消化病学分会 (2007) 中国慢性胃炎共识意见. 胃肠病学, 12, 513-515.
[2] Murakami, K., Kodama, M. and Fujioka, T. (2006) Latest Insights into the Effects of Helicobacter Pylori Infection on Gastric Carcinogenesis. World Journal of Gastroenterology, 12, 2713-2720.
[3] Broch, K., Jonsson, K.A. and Petersson, P.F. (2000) Preva-lence of Gastroduodenitis and Helicobacterpylori Infection in a General Population Sample: Relations to Symptomatology and Life Style. Digestive Diseases and Sciences, 45, 1322-1329.
[4] Redeen, S., Petersson, F, Jonsson, K.A., et al. (2003) Relationship of gastroscopic feature to histological finding singastritis and helicobacter pylori infection in a general population sample. Endocsopy, 35, 946-950.
[5] 中华医学会消化病学分会 (2013) 全国慢性胃炎研讨会共识意见. 中华消化杂志, 1, 24-35.
[6] 贺奇彬, 石亮亮, 倪景斌, 余慧萍, 徐肇敏, 邹晓平 (2012) 反应性胃病与浅表性胃炎的内镜及病理学鉴别初探. 中华消化内镜杂志, 2, 101-102.
[7] 薄元恺, 张金宝, 李冬梅, 聂桂红, 张恩宏, 樊君立, 王丙红 (2010) 胃窦黏膜粗糙不同表现与病理的对照研究.现代消化及介入诊疗, 5, 315-317.
[8] 申霞 (2011) 126例慢性胃炎胃镜下表现与病理诊断对照. 中国卫生产业, 6, 75-76.
[9] 张湘霓 (2007) 慢性胃炎胃镜下像与病理诊断研究. 中国中西医结合消化杂志, 1, 45-47
[10] 祁俊杰, 杨志刚, 任远 (2008) 2660例慢性胃炎胃镜及病理检查结果分析. 宁夏医学院学报, 5, 634-635.
[11] 陈磊, 房殿春, 杨仕明, 彭贵勇, 汪荣泉, 李向红 (2005) 内镜下血色素指数色图测定对上消化道病变的诊断价值. 第三军医大学学报, 23, 2357-2359.
[12] Hurlstone, D.P., Cross, S.S., Adam, I., et al. (2004) Efficacy of high magnification chromoscop-ic-colonoscopy for the diagnosis of neoplasia in flat and depressed lesions of thecolorectum: A prospective analysis. Gut, 53, 284290.
[13] Tajiri, H., Matsuda, K. and Fujisaki, J. (2004) What Can We See with the Endoscope Present Status and Future Perspectives. Digestive Endoscopy, 14, 131-137.
[14] 王斌, 徐少勇, 常青, 胡素芳, 叶克凤 (2005) 胃血色素指数的测定对幽门螺杆菌的诊断价值. 中国内镜杂志, 6, 614-616.
[15] 王恒 (2008) 实时测定胃黏膜血红蛋白指数在幽门螺杆菌感染诊断中的应用. 山东医药, 48, 81-82
[16] 苏爱平, 许翠萍, 房晓芬, 王建春, 张太新 (2008) 幽门螺杆菌感染在慢性胃炎患者中的危因素. 世界华人消化杂志, 33, 3810-3813.
[17] Okui, M., Fukuda, Y. and Yamamoto, I. (1998) Helicobacter pylori infection affects gastric ulcer healing in Japanese monkeys. Journal of Gastroenterology, 33, 26-30.
[18] 韩秀萍, 王芃, 李家奎, 刘纯杰 (2009) 幽门螺杆菌毒力致病因子研究进展. 世界华人消化杂志, 22, 2292-2297.
[19] Nai, G.A. Parizi, A.C. and Barbos, R.L. (2007) Association between helieobacter pylori concentration and the combining frequency of histopathological findings in gastric biopsies specimens. Arquivos de Gastroenterologia, 44, 240.
[20] Moorchung, N., Srivastava, A.N., Gupta, N.K., et al. (2007) The histopathology of chronic gastritis. Indian Journal of Pathology and Microbiology, 50, 1.
[21] Kalebi, A., Rana, F., Mwanda, W., et al. (2007) Histopathological profile of gastritis in adult patients seen at referral hospital in Kenya. World Journal of Gastroenterology, 13, 4117.
[22] Zaitoun, A.M. (1995) The prevalence of lymphoid follicles in helicobacter-pylori associated gastritis in patients with ulcers and non-ulcer dys-pepsia. Journal of Clinical Pathology, 48, 325.
[23] 胡伏莲 (2007) 幽门螺杆菌感染的流行病学. 中国医刊, 2, 17-18.
[24] 中华医学会消化病学分会 (2012) 幽门螺杆菌学组/全国幽门螺杆菌协作组, 第四次全国幽门螺杆菌感染处理共识报告. 中华消化杂志, 10, 618-625.
[25] 金明哲, 刘瑜, 孔伟圣 (2012) 幽门螺杆菌检测方法研究进展. 检验医学与临床, 9, 1099-1101.
[26] 孙瑜 (2009) 感染幽门螺杆菌的慢性萎缩性胃炎患者血清HS-CRP水平及其与cag_A的关系. 中国误诊学杂志, 30, 7311-7312.
[27] 黄建, 许小康 (2011) 血清超敏C反应蛋白和幽门螺杆菌感染胃肠疾病的关系. 国际检验医学杂志, 20, 2357-2359.
[28] Schneider, M.R., Hoefich, A., Fischre, J.R., et a1. (2000) Interleukin-6 stimulates clonogenic growth of primary and metastatic human colon carcinoma cell. Cancer Letters, 151, 31-38.
[29] 周喜汉, 覃月秋, 喻文强, 宋嗣恩 (2010) 幽门螺杆菌相关性慢性胃炎患者C反应蛋白检测的临床意义. 右江医学, 5, 557-558.
[30] 施敏明, 黄彩儿 (1996) Hp阳性浅表性胃炎与弥漫型胃癌关系的探讨. 临床消化病杂志, 8, 5-8.
[31] 赵双罗, 王冠来, 张增海, 张志清, 李其云, 邢国章 (1994) 慢性浅表性胃炎与Ⅱb型早期胃癌. 临床消化病杂志, 1, 7-10.