临床荟萃
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摘要： 随着内镜设备的不断改进，慢性胃炎的诊断及早期胃癌的检出率得到有效提高。目前慢性胃炎的内镜诊断要点是通过内镜表现判定有无幽门螺杆菌（H.pylori）感染并评价胃癌发生的风险。由于多数慢性胃炎患者无明显临床症状，因此全面准确认识慢性胃炎的内镜表现尤为重要。本文根据有无H.pylori感染、药物所致及胃癌高风险黏膜的内镜表现依次述评，以期能够提高内镜对H.pylori感染状态及胃癌风险的诊断和分级能力，从而对实际临床诊疗有所裨益。
关键词: 胃炎;内窥镜检查, 幽门螺杆菌
Abstract: With the continuous improvement of endoscopic equipment, the diagnosis of chronic gastritis and the detection rate of early gastric cancer have been effectively improved. At present, the main point for the endoscopic diagnosis is to determine whether there is Helicobacter pylori (H.pylori) infection and evaluate the risk of gastric cancer through endoscopic manifestations. Since most patients with chronic gastritis have no obvious clinical symptoms, it is particularly important to understand the endoscopic performance of chronic gastritis fully and accurately. Here, we reviewed endoscopic performance according to the presence or absence of H.pylori infection, drug induced gastritis and high risk mucosa.It is expected to improve the ability of endoscopic diagnosis and classification of H.pylori infection status and risk of gastric cancer, so as to be beneficial to the clinical diagnosis and treatment.
Key words: gastritis, endoscopy, Helicobacter pylori
于亚男，田字彬. 慢性胃炎的内镜表现[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2019.05.002.
Yu Yanan, Tian Zibin. Endoscopic performance of chronic gastritis[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2019.05.002.
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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2019.05.002
https://huicui.hebmu.edu.cn/CN/Y2019/V34/I5/394
