乙型肝炎肝硬化程度与胃黏膜组织病理改变的相关性
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(河南科技大学第一附属医院,河南 洛阳 471000)

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符雯洁,女,主治医师,主要从事消化内科工作。

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R 575.2;512.6+ 2

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Correlation between Degree of Liver Cirrhosis And Pathological Changes of Gastric Mucosa in Patients with Hepatitis B
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(The First Affiliated Hospital of Henan University of Science and Technology, Henan Luoyang 471000)

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    摘要:

    〔摘 要〕 目的:探讨乙型肝炎肝硬化程度与胃黏膜组织病理改变的相关性。方法:回顾性分析 2019 年 1 月至 2020 年 1 月河南科技大学第一附属医院收治的 92 例乙型肝炎肝硬化患者的临床资料,根据病情程度将患者分为轻度组 42 例、中 度组 30 例、重度组 20 例,同时采取自愿方式选取体检健康人群 30 例作为健康组,比较四组研究对象的血清肝纤维化指 标、胃黏膜炎症情况以及胃黏膜病变程度,并分析其与乙型肝炎肝硬化病情程度的关系。结果:轻度组、中度组、重度组 层粘连蛋白(LN)、透明质酸(HA)、Ⅲ型前胶原肽(PC Ⅲ)和Ⅳ型胶原(Ⅳ C)水平均高于健康组,胃黏膜炎症率均 高于健康组,胃黏膜病变程度均高于健康组,且以上指标均为重度组>中度组>轻度组>健康组,差异均具有统计学意义 (P < 0.05);Spearman 相关性分析结果显示,乙型肝炎肝硬化程度与胃黏膜组织病理改变呈正相关(r = 0.539,P < 0.01)。 结论:乙型肝炎肝硬化患者易合并胃黏膜炎症病变,且病变程度与肝硬化程度密切相关。

    Abstract:

    〔Abstract〕 Objective To investigate the correlation between the degree of liver cirrhosis and the pathological changes of gastric mucosa in patients with hepatitis B. Methods The clinical data of 92 patients with hepatitis B Cirrhosis admitted to the First Affiliated Hospital of Henan University of Science and technology from January 2019 to January 2020 were retrospectively analyzed, according to the degree of illness, the patients were divided into mild group (42 cases) , moderate group (30 cases) and severe group (20 cases) , the indexes of Serum Liver Fibrosis, Gastric Mucosa inflammation and the degree of gastric mucosa lesion were compared in four groups, and the relationship between them and the degree of hepatitis B Cirrhosis was analyzed. Results The levels of Laminin (LN) , hyaluronic acid (HA) , Procollagen type III (PC III) and Collagen type IV (IV c) in mild, moderate and severe groups were higher than those in healthy groups, the degree of gastric mucosal lesion was higher than that of healthy group, and the above indexes were higher in severe group than in moderate group than in mild group than in healthy group (P < 0.05) , the degree of liver cirrhosis was positively correlated with the pathological changes of gastric mucosa (r = 0.539, P < 0.01). Conclusion The patients with hepatitis B and liver cirrhosis are easy to be complicated with inflammatory lesions of gastric Mucosa, and the degree of lesions is closely related to the degree of liver cirrhosis.

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  • 收稿日期:2021-06-12
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  • 在线发布日期: 2021-11-09
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