慢性萎缩性胃炎的相关因素及内镜与病理诊断比较的临床意义

表1 各临床因素比较

	全部病例	慢性萎缩性胃炎	慢性非萎缩性胃炎	P值
纳入研究的全体患者	994	158(15.9%)	836(84.1%)
平均年龄	47.8±17.3	50.6±16.2	45.1±17.6	<0.001
有吸烟史	260(26.1%)	51(32.2%)	209(25.0%)	<0.05
有饮酒史	260(26.1%)	51(32.2%)	209(25.0%)	>0.05
重度酗酒	69(6.9%)	19(12.0%)	50(6.0%)	<0.05
既往有胃病史	163(16.4%)	38(24.1%)	125(15.0%)	<0.001
既往有往十二指肠病史	138(13.9%)	38(24.1%)	100(12.0%)	<0.05
腹痛史	775(78.0%)	115(72.8%)	660(78.9%)	<0.05
嗳气反酸史	319(32.1%)	43(27.2%)	276(33.0%)	>0.05
恶心	239(24.0%)	38(24.0%)	201(24.0%)	>0.05
呕吐	91(9.2%)	16(10.1%)	75(9.0%)	>0.05
体重减轻	184(18.5%)	25(15.8%)	159(19.0%)	>0.05
其他诊状	706(71.0%)	104(65.8%)	602(72.0%)	>0.05
NSAID服用史	55(5.5%)	13(8.2%)	42(5.0%)	>0.05

表3 各部位不同程度CAG的构成比例

	胃窦部CAG	胃体部CAG	胃窦兼胃体部CAG
轻度萎缩	62(57.9%)	5(55.5%)	13(30.9%)
中度萎缩	43(40.1%)	2(22.2%)	21(50.0%)
重度萎缩	2(2.0%)	2(22.2%)	8(19.1%)

表4 胃镜与病理诊断比较

内镜下组织学	正常	胃窦部CAG	胃体部CAG	胃窦兼胃体部CAG	慢性浅表性胃炎(CSG)
正常	177(52.5%)	81(24.0%)	5(1.5%)	28(8.5%)	45(13.5%)
胃窦部CAG	19(43.5%)	16(37.5%)	0(0.0%)	4(9.5%)	4(9.5%)
胃体部CAG	1(7.7%)	4(30.7%)	1(7.7%)	5(38.5%)	2(15.4%)
胃窦兼胃体部CAG	6(25.0%)	8(33.3%)	0(0.0%)	6(25.0%)	4(16.7%)