胃镜也能诊断幽门螺杆菌感染?

7个月前 (05-16) 0 点赞 0 收藏 0 评论 78 已阅读

诊断幽门螺旋杆菌炎是在临床中常见的胃部疾病。幽门螺旋杆菌感染是胃炎常见原因。幽门螺旋杆菌的诊断方法有呼气试验、抗体检测、尿素酶实验、粪便抗体检测等。

相对于其他检测方法,胃镜检查能判断有没有幽门螺旋杆菌感染感染的范围时间,同时可以发现胃部其他病变,如早期胃癌、溃疡等。其他胃镜下出现胃、十二指肠溃疡、胃底弥漫性发红、点状发红,胃窦结节状改变,会粘膜皱襞水肿,黄瘤增生性息肉有较高幽门螺旋杆菌感染率出现胃镜上述表现需提高警惕。一、弥漫性发红多项研究证实,弥漫性发红是 h p 感染后出现了改变,因为胃底线粘膜叫幽门线粘膜血功丰富,使得弥漫性发红。在胃底线分布的区域,更容易区别组织病理学上弥漫性发反应,粘膜充血,是诊断幽门螺旋杆菌感染的重要特征。二点状发红,点状发红同样为组织炎症表现,病理活检发现点状发红部位可见大量中性粒细胞聚集。三、胃窦结节状改变,胃窦结节为小圆形,黄白色或白色结节。幽门螺杆菌活动性胃炎和滤泡性胃炎密切相关。在儿童和成人h p 感染中均有较高的特异性和阳性预测值。证实胃黏膜下存在淋巴滤泡及炎症细胞,成功根除h p 后结节状改变和淋巴滤泡将消失,炎症部分的改善。黄色素瘤是一种皮肤或深层组织结构的黄色瘤样病变,富含脂质成分,多数认为黄色素瘤是代谢异常,胃粘膜良性表现,胃粘膜黄色素瘤可能与既往感染或根除治疗相关。六、胃息肉增生性息肉是慢性炎症过程中形成的,多与h p 感染相关。七、胃黏膜肿胀,胃黏膜肿胀表现为胃底腺及幽门前分布区域,粘膜软而厚实肿胀的位置,宽度不规则,粘膜表面肿胀但无皱纹。多项研究证实,其与hp 感染明显相关。胃镜下实时识别幽门螺旋杆菌相关性胃炎的部位,不仅减少了采样误差,更减轻了病理专家的工作量。通过对整个胃进行更细致的检查,提高了早期恶性病变的检出率。

快速尿素酶试验

一方面,传统胃镜具有耗时短、人员技术要求相对低、简便经济等优点。另一方面,传统胃镜诊断幽门螺旋杆菌感染在相当程度上避免了尿素呼气试验等检查手段的额外费用,同时避免因活检造成的额外创伤,适用于长期口服抗凝、抗血小板聚集药物的人群。另外一些幽门螺旋杆菌感染为黏膜特征性表现,提示进展性胃炎、胃癌的发生风险高。对于这部分人群的胃镜随访至关重要,能够早期发现恶性疾病来自传统胃镜下幽门螺杆菌感染表现。如果你也有胃病经历,不妨你来说一下你的体会。

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美年大健康旗舰店全身体检体检套餐含胶囊胃镜中老年父母男女通用 券后价¥6437 天猫 优惠券¥753 立即领券
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