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目的探讨胃、十二指肠血吸虫病的内镜表现及预后情况。方法对内镜及病理确诊的26例胃、十二指肠血吸虫病患者进行内镜定期随访,并做预后分析。结果胃、十二指肠血吸虫病内镜表现缺乏特异性,26例中表现为肿瘤样6例,溃疡11例,慢性胃炎9例。病理检查中均在粘膜层、粘膜下层或坏死组织中发现有多量血吸虫卵沉积。26例中7例合并胃癌,另在最长7年的随访中发现癌变6例,癌变者达50%。结论胃、十二指肠血吸虫病诊断要依靠流行病学调查、内镜和病理学检查,预后分析表明该病属癌前状态,应及早诊断并治疗。
Objective To investigate the endoscopic features and prognosis of gastric and duodenal schistosomiasis. Methods Twenty-six patients with gastric and duodenal schistosomiasis diagnosed by endoscopy and pathology were followed up regularly and analyzed retrospectively. Results The endoscopic manifestations of gastric and duodenal schistosomiasis were not specific. Among 26 cases, 6 were tumor-like, 11 were ulcer and 9 were chronic gastritis. Pathological examination in the mucosa, submucosa or necrotic tissue found in a large number of schistosome egg deposition. Among 26 cases, 7 cases had gastric cancer, and in the other 7 cases, 6 cases were found cancerous and up to 50% cancerous. Conclusion The diagnosis of gastric and duodenal schistosomiasis depends on epidemiological investigation, endoscopy and pathological examination. Prognostic analysis shows that the disease is precancerous and should be diagnosed and treated as soon as possible.