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残胃胆汁反流与幽门螺杆菌感染之间的关系
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- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 11
- DOI:
- 10.3969/j.issn.1009-3079.2005.11.025
- Key Word:
- No keyword available
Abstract： 目的:观察胃大部切除术后胆汁反流与残胃H pylori感染之间的关系.方法:残胃组患者101例,其中Billrooth Ⅰ式58例,BillrothⅡ式43例,同期未手术患者4501例作为对照组.残胃组内又分别根据H pylori、胆汁反流与否、反流程度分层比较.以快速尿素酶试验及改良Giemsa染色检测幽门螺杆菌.结果:残胃组Hpylori感染率(21.79%)显著低于对照组(41.16%),两组之间比较具有统计学意义(P＜0.05);BillrothⅠ式组Hpylori感染率为21.43%,BillrothⅡ式组Hpylori感染率为22.22%,两组比较无统计学意义;Billroth Ⅰ式组胆汁反流阳性率57.14%与Billroth Ⅱ式组的88.89%相比较具有统计学意义(P＜0.001);残胃胆汁反流阳性患者H pyJori感染率为35.44%,胆汁反流阴性患者H pylori感染率为45.45%,两组比较具有统计学意义(P＜0.01);残胃组患者不同程度胆汁反流的H pylori感染率之间无统计学意义;不同程度胆汁反流的H pylori现患比均小于1.0.结论:残胃Hpylori感染率低于未手术者,胆汁反流是Hpylori感染的保护因素,但与H pylori感染严重程度无线性关系.
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