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本文报告267例十二指肠内窥镜检查及球部粘膜活检的结果,着重进行病理所见研究。方法每例作活检2～4块,由1名病理医生专门检查。病理诊断分浅表、萎缩及混合3型。浅表性球炎的诊断依据为:(1)绒毛变形,胀大,上皮排列,不规则,有局灶性增生、萎缩、糜烂,绒毛分枝,杯状细胞减少,十二指肠腺囊性扩张;(2)较多淋巴细胞和浆细胞样淋巴细胞浸润;(3)嗜中性白细胞、浆细胞和嗜酸性白细胞浸润;(4)胃上皮化生。4条中具备任何2条的大部分改变者即可确定。萎缩性球炎诊断依据为:(1)上皮低矮,呈低柱状,绒毛杯状细胞减少或消失;(2)
This article reports 267 cases of duodenal endoscopy and mucosal biopsy results, focusing on pathological findings. Methods Per case for biopsy 2 to 4, a pathologist special inspection. Pathological diagnosis of superficial table, atrophy and mixed type 3. The diagnosis of superficial inflammation is as follows: (1) villi deformity, swollen, epithelial arrangement, irregular, focal hyperplasia, atrophy, erosion, villous branches, goblet cells decreased, duodenal gland capsule Sexual expansion; (2) more lymphocytes and plasmacytoid lymphocyte infiltration; (3) neutrophils, plasma cells and eosinophils infiltration; (4) gastric metaplasia. Most of the four changers with any two can be identified. Atrophic gastritis diagnosis is based on: (1) epithelial low, was low columnar, villous goblet cells decreased or disappeared; (2)