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我院自1978年4月至1979年8月,采用自制的“甘链片”治疗胃窦炎52例,取得胃镜粘膜病理活检好转率为63.4%。治疗对象:凡有中上腹不适或疼痛、饱胀等消化不良症状,并经X线胃肠钡餐检查及胃纤维内窥镜粘膜活检病理证实有炎症者。X线依据:(1)胃窦粘膜较胃体部粗大,宽度>0.5厘米:(2)胃窦部痉挛:(3)胃窦部张力升高等。胃镜病理依据:轻度炎症指胃窦部粘膜表层上皮细胞与固有层腺体之间,有散在的炎症细胞浸润。中度炎症指固有层腺体之间,可见到成团的炎症细胞,形似淋巴滤泡。重度炎症指炎症细胞更多地成簇分布,腺体破坏,但尚未完全消失。肠腺化生指胃粘膜固有腺体已变成其他的胃腺或小肠的腺体,可见到小肠吸收细胞,杯状细胞,
Our hospital from April 1978 to August 1979, using homemade “Gan chain piece” in the treatment of 52 cases of antral gastritis, gastroscopy biopsy achieved a rate of 63.4%. Treatment objects: Where the upper abdominal discomfort or pain, fullness and other symptoms of dyspepsia, and by X-ray examination of gastrointestinal barium and stomach fiber endoscopy mucosal biopsy confirmed inflammation. X-ray based on: (1) antral gastric mucosa thicker than the body width> 0.5 cm: (2) gastric spasm: (3) increased gastric antrum tension. Gastroscopy Pathology: Mild inflammation refers to the gastric mucosa between the epithelial cells and the lamina propria of the glands, interspersed with inflammatory cell infiltration. Moderate inflammation refers to the lamina propria between the layers of inflammatory cells can be seen, shaped like lymphoid follicles. Severe inflammation refers to the inflammatory cells more clustered distribution, gland destruction, but not completely disappeared. Gland gland metaplasia refers to the gastric mucosa inherent glands have become other glands of the stomach or small intestine, can be seen in the small intestine to absorb cells, goblet cells,