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目的探讨上消化道钡餐检查结合血清幽门螺杆菌（Ｈｐ）抗体测定的临床应用价值。方法对１００例疑为上消化道炎症或溃疡病患儿进行上消化道钡餐（ＧＩ）检查和血清Ｈｐ抗体测定。结果ＧＩ提示十二指肠溃疡１２例，十二指肠球炎５例，胃窦炎１４例，胃炎５６例，正常９例，总阳性率为９１％；其血清Ｈｐ抗体阳性（％）分别为１００％，１００％，９３％，６１％，４４％，总阳性率为６６％。病程＞１月患儿Ｈｐ抗体阳性率明显高于病程≤１月组。结论Ｈｐ感染是小儿溃疡病、十二指肠球炎、胃（窦）炎的主要原因；ＧＩ检查配合血清Ｈｐ抗体测定可做为小儿溃疡病、上消化道炎症及其是否Ｈｐ感染诊断的有效辅助手段。
Objective To investigate the clinical value of barium meal examination combined with serum Helicobacter pylori (Hp) antibody in upper gastrointestinal tract. Methods 100 cases of suspected upper gastrointestinal inflammation or ulcer disease in children with upper gastrointestinal barium (GI) examination and serum Hp antibody. Results GI showed 12 cases of duodenal ulcer, 5 cases of duodenal inflammation, 14 cases of antral gastritis, 56 cases of gastritis and 9 cases of normal, the total positive rate was 91%. The serum Hp antibody positive rate (%) were 100%, 93%, 61%, 44%, the total positive rate was 66%. The duration of disease> January Hp antibody positive rate was significantly higher than the disease ≤ January group. Conclusions Hp infection is the main reason of children’s ulcer disease, duodenal inflammation and gastric (sinus) inflammation. GI test combined with serum Hp antibody can be used as a diagnosis of pediatric ulcer disease, upper gastrointestinal inflammation and Hp infection Auxiliary means.