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北京地区2131例胃镜活检人群幽门螺杆菌感染分析

EnVision System for Detecting Helicobacter Pylori Infection in 2131 Gastroscopic Biopsy Cases in Beijing

  • 摘要: 目的: 探讨幽门螺杆菌(helicobacter pylori, Hp)感染在不同年龄、性别、取材部位的阳性检出率。 方法: 采用EnVision法对北京地区2131例门诊患者的胃镜活检标本进行免疫组化染色,按性别、年龄、取材部位不同分别计算阳性检出率。 结果: 采用免疫组化EnVision法检测胃镜活检组织Hp感染,其染色背景清晰、质量稳定、流程标准化。北京地区2131例胃镜活检人群Hp感染阳性检出率为35.6%,男性患者Hp感染阳性检出率为40.9%,女性患者为30.5%。男性患者各年龄组Hp阳性检出率差异有统计学意义,以30岁以下男性感染率最高(60.86%, P<0.05);女性各年龄组阳性检出率差异无统计学意义。各年龄组内,男性患者阳性检出率均高于女性(P<0.05)。胃小弯中部Hp感染阳性检出率最高(36.0%),胃窦大弯侧最低(24.0%),差异有统计学意义(P<0.05)。 结论: 北京地区胃镜活检人群中男性Hp感染患者多于女性,以30岁以下男性感染率最高;且Hp感染好发于胃小弯中部。

     

    Abstract: Objective: To explore the positive rate of detecting helicobacter pylori(Hp) infection in different groups regarding gender, age and site of biopsy. Methods: Immunohistochemistry staining was conducted by EnVision two-step method for biopsy specimens from 2131 clinical patients in Beijing, and the positive rate of detecting Hp infection was evaluated regarding gender, age and site of biopsy, respectively. Results: The method of immunohistochemistry EnVision showed characteristics including clear background, stable quality and standard procedure for detecting Hp infection in gastroscopic biopsy. In 2131 patients, the overall positive rate of detecting Hp infection in 2131 gastroscopic biopsy cases in Beijing was 35.6%. The positive rate was 40.9% in male group while it was 30.5% in female group. There were significant differences regarding Hp infection positive rate of males among groups with different age level, and the infection rate in males younger than 30 years was the highest (60.86%, P<0.05). There was no significant difference regarding positive rate of females among groups with different age level (P>0.05). On each age level, the positive rate in males was higher than that in females (P<0.05). The positive rate of Hp infection in the middle site of lesser curvature of stomach was the highest(36.0%), while that in greater curvature of gastric antrum was the lowest(24.0%), and the difference was significant(P<0.05). Conclusions: Among the gastroscopic biopsy in Beijing, the Hp infection positive rate in males was higher than that in females. And the peak positive rate of infection occurred in male younger than 30 years. Furthermore, Hp infection was more common in the middle site of lesser curvature of stomach.

     

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