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为了研究胃息肉与幽门螺杆菌(Helicobacter pylori,HP)感染的关系,对111例140枚经胃镜检查发现的胃息肉进行了分析。结果表明:炎症性息肉占75％,非炎症性息肉25％(包括息肉样变13枚),息肉样腺瘤17枚,管状和绒毛状腺瘤各2枚,息肉类癌1枚,息肉复发1枚)。发生在胃窦者占55％。直径大于2cm占2.8％,属于管状和绒毛状腺瘤。HP在胃息肉患者中总检出率50.7％,其中炎性息肉检出68.1％,非炎性息肉检出率16.7％,两者之间有显著性差异(P<0.05)。胃息肉伴慢性活动性炎者中HP检出率78.9％,非活动性炎仅18.2％,两者之间有显著性差异(P<0.005)。该研究还发现胃息肉发生随年龄增长而增加。研究表明HP在炎性息肉中有较高的检出率,而且大多伴有慢性活动性炎症,说明HP感染与炎症性息肉关系密切,可能是引起活动性炎症和炎症性胃息肉的重要原因之一。
To investigate the relationship between gastric polyps and Helicobacter pylori (HP) infection, 111 cases of 140 gastric polyps found by gastroscopy were analyzed. The results showed that 75% of inflammatory polyps, 25% of non-inflammatory polyps (including 13 polypoid lesions), 17 polypoid adenomas, 2 tubular and villous adenomas, 1 polypoid carcinoma, and polyp recurrence 1). Occurred in the stomach antrum accounted for 55%. Diameter greater than 2cm accounted for 2.8%, belonging to tubular and villous adenomas. The total detection rate of HP in patients with gastric polyps was 50.7%, of which 68.1% were detected in inflammatory polyps and 16.7% in non-inflammatory polyps. There was a significant difference between the two (P<0.05). The detection rate of HP was 78.9% in patients with gastric polyps and chronic active inflammation, and only 18.2% in patients with non-active inflammation. There was a significant difference between the two (P<0.005). The study also found that the occurrence of gastric polyps increased with age. Studies have shown that HP has a high detection rate in inflammatory polyps, and most of them are associated with chronic active inflammation, suggesting that HP infection is closely related to inflammatory polyps and may be an important cause of active inflammation and inflammatory gastric polyps. one.