{"id":15261,"date":"2026-10-12T15:46:29","date_gmt":"2026-10-12T07:46:29","guid":{"rendered":"https:\/\/med-net.com\/article\/?p=15261"},"modified":"2026-10-12T15:47:07","modified_gmt":"2026-10-12T07:47:07","slug":"%e8%83%83%e7%97%9b%e4%b8%8d%e5%8f%aa%e6%98%af%e5%a3%93%e5%8a%9b%e5%a4%a7%ef%bc%81%e5%93%a1%e5%b7%a5%e5%81%a5%e6%aa%a2%e4%b8%8d%e5%8f%af%e5%bf%bd%e8%a6%96%e7%9a%84%e9%9a%b1%e5%bd%a2%e8%83%83%e7%99%8c","status":"publish","type":"post","link":"https:\/\/med-net.com\/article\/%e8%83%83%e7%97%9b%e4%b8%8d%e5%8f%aa%e6%98%af%e5%a3%93%e5%8a%9b%e5%a4%a7%ef%bc%81%e5%93%a1%e5%b7%a5%e5%81%a5%e6%aa%a2%e4%b8%8d%e5%8f%af%e5%bf%bd%e8%a6%96%e7%9a%84%e9%9a%b1%e5%bd%a2%e8%83%83%e7%99%8c.html","title":{"rendered":"\u80c3\u75db\u4e0d\u53ea\u662f\u58d3\u529b\u5927\uff01\u54e1\u5de5\u5065\u6aa2\u4e0d\u53ef\u5ffd\u8996\u7684\u96b1\u5f62\u80c3\u764c\u9632\u7dda\uff1a\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u7be9\u6aa2"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" 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400;\">\u300c\u6700\u8fd1\u5c08\u6848\u8d95\u4e0a\u7dda\uff0c\u80c3\u53c8\u958b\u59cb\u60b6\u75db\u4e86\u2026\u2026\u300d\u300c\u4e2d\u5348\u96a8\u4fbf\u6252\u4e86\u5e7e\u53e3\u4fbf\u7576\uff0c\u4e0b\u5348\u80c3\u98df\u9053\u9006\u6d41\u53c8\u767c\u4f5c\uff0c\u5403\u9846\u5236\u9178\u5291\u58d3\u4e00\u4e0b\u5c31\u597d\u3002\u300d\u5728\u6b65\u8abf\u7dca\u6e4a\u7684\u73fe\u4ee3\u8077\u5834\u4e2d\uff0c\u9019\u6a23\u7684\u5c0d\u8a71\u6bcf\u5929\u90fd\u5728\u8fa6\u516c\u5ba4\u4e0a\u6f14\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u8a31\u591a\u9ad8\u58d3\u3001\u5de5\u6642\u9577\u3001\u7d93\u5e38\u5916\u98df\u805a\u9910\u7684\u4e0a\u73ed\u65cf\uff0c\u7fd2\u6163\u5c07\u80c3\u8139\u3001\u6253\u55dd\u3001\u96b1\u96b1\u4f5c\u75db\u6b78\u548e\u65bc\u300c\u5de5\u4f5c\u58d3\u529b\u300d\u6216\u300c\u6d88\u5316\u4e0d\u826f\u300d\u3002\u7136\u800c\uff0c\u9019\u4e9b\u770b\u4f3c\u5c0b\u5e38\u7684\u80c3\u90e8\u4e0d\u9069\u80cc\u5f8c\uff0c\u53ef\u80fd\u6b63\u6f5b\u85cf\u8457\u4e16\u754c\u885b\u751f\u7d44\u7e54\uff08WHO\uff09\u5217\u70ba\u300c\u4e00\u7d1a\u81f4\u764c\u7269\u300d\u7684\u5371\u96aa\u56e0\u5b50\u2014\u2014<\/span><b>\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\uff08Helicobacter pylori\uff09<\/b><span style=\"font-weight: 400;\">\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u9810\u9632\u80c3\u90e8\u75c5\u8b8a\u4e0d\u80fd\u53ea\u9760\u6d88\u6975\u5fcd\u8010\uff0c\u5982\u4f55\u5c07\u65e9\u671f\u9810\u9632\u843d\u5be6\u65bc\u65e5\u5e38\u8077\u5834\u5065\u5eb7\u7167\u8b77\u4e2d\uff0c\u5c07\u300c\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u7be9\u6aa2\u300d\u7d0d\u5165\u4f01\u696d\u54e1\u5de5\u5065\u6aa2\u5e38\u898f\u9078\u9805\uff0c\u6b63\u662f\u5b88\u8b77\u8077\u5834\u83c1\u82f1\u6230\u529b\u6700\u95dc\u9375\u3001\u6548\u76ca\u6700\u9ad8\u7684\u4e00\u9053\u9632\u7dda\u3002<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"%E8%AA%8D%E8%AD%98%E5%B9%BD%E9%96%80%E8%9E%BA%E6%97%8B%E6%A1%BF%E8%8F%8C%EF%BC%9A%E8%83%83%E8%A3%A1%E7%9A%84%E9%9A%B1%E5%BD%A2%E7%A0%B4%E5%A3%9E%E8%80%85\"><\/span><b>\u8a8d\u8b58\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\uff1a\u80c3\u88e1\u7684\u96b1\u5f62\u7834\u58de\u8005<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u662f\u4e00\u7a2e\u5fae\u9700\u6c27\u7d30\u83cc\uff0c\u5177\u5099\u80fd\u5206\u89e3\u5c3f\u7d20\u4ee5\u4e2d\u548c\u80c3\u9178\u7684\u7279\u6b8a\u80fd\u529b\uff0c\u4f7f\u5b83\u80fd\u5920\u9577\u671f\u5b58\u6d3b\u5728\u5f37\u9178\u74b0\u5883\u7684\u80c3\u9ecf\u819c\u4e2d\uff0c\u9019\u7a2e\u7d30\u83cc\u4e3b\u8981\u900f\u904e\u300c\u7cde\u53e3\u9014\u5f91\u300d\u6216\u300c\u7d93\u53e3\u50b3\u67d3\u300d\uff0c\u5305\u62ec\u5171\u7528\u9910\u5177\u3001\u53e3\u6cab\u63a5\u89f8\u3001\u751f\u98df\u6216\u672a\u6d17\u6de8\u7684\u6c34\u6e90\uff0c\u90fd\u53ef\u80fd\u6210\u70ba\u50b3\u64ad\u5a92\u4ecb\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u66f4\u68d8\u624b\u7684\u662f\uff0c\u611f\u67d3\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u5f8c\uff0c\u9ad8\u9054 7 \u81f3 8 \u6210\u7684\u60a3\u8005\u521d\u671f<\/span><b>\u5e7e\u4e4e\u6c92\u6709\u660e\u986f\u75c7\u72c0<\/b><span style=\"font-weight: 400;\">\uff0c\u751a\u81f3\u50c5\u6709\u8f15\u5fae\u7684\u8139\u6c23\u6216\u6d88\u5316\u4e0d\u826f\u3002\u6b63\u56e0\u5982\u6b64\uff0c\u591a\u6578\u8077\u5834\u5de5\u4f5c\u8005\u5728\u6beb\u7121\u81ea\u89ba\u7684\u60c5\u6cc1\u4e0b\u5e36\u83cc\u591a\u5e74\uff0c\u8b93\u80c3\u58c1\u9577\u671f\u8655\u65bc\u53cd\u8986\u767c\u708e\u7684\u6162\u6027\u72c0\u614b\u3002<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"%E5%BE%9E%E8%83%83%E7%82%8E%E5%88%B0%E8%83%83%E7%99%8C%EF%BC%9A%E4%B8%8D%E5%AE%B9%E5%BF%BD%E8%A6%96%E7%9A%84%E3%80%8C%E8%87%B4%E7%99%8C%E5%9B%9B%E9%83%A8%E6%9B%B2%E3%80%8D\"><\/span><b>\u5f9e\u80c3\u708e\u5230\u80c3\u764c\uff1a\u4e0d\u5bb9\u5ffd\u8996\u7684\u300c\u81f4\u764c\u56db\u90e8\u66f2\u300d<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u81e8\u5e8a\u91ab\u5b78\u7d71\u8a08\u986f\u793a\uff0c<\/span><b>\u53f0\u7063\u8fd1 9 \u6210\u7684\u80c3\u764c\u767c\u751f\uff0c\u8207\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u7684\u9577\u671f\u6162\u6027\u611f\u67d3\u6709\u9ad8\u5ea6\u95dc\u806f<\/b><span style=\"font-weight: 400;\">\u3002<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u7576\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u5728\u80c3\u9ecf\u819c\u9577\u671f\u5b9a\u6b96\uff0c\u6703\u9010\u6b65\u63a8\u52d5\u300c\u80c3\u9ecf\u819c\u75c5\u8b8a\u9032\u7a0b\u300d\uff1a<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u6162\u6027\u6dfa\u8868\u6027\u80c3\u708e\uff1a<\/b><span style=\"font-weight: 400;\"> \u9ecf\u819c\u958b\u59cb\u767c\u708e\u3001\u53d7\u640d\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u840e\u7e2e\u6027\u80c3\u708e\uff1a<\/b><span style=\"font-weight: 400;\"> \u80c3\u817a\u9ad4\u9010\u6f38\u840e\u7e2e\u9000\u5316\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u8178\u5316\u751f\uff08Intestinal Metaplasia\uff09\uff1a<\/b><span style=\"font-weight: 400;\"> \u80c3\u9ecf\u819c\u7d30\u80de\u8f49\u5316\u70ba\u985e\u4f3c\u5c0f\u8178\u7684\u7d30\u80de\u7d44\u7e54\uff0c\u6b64\u6642\u5df2\u5c6c\u4e0d\u53ef\u9006\u7684\u764c\u524d\u75c5\u8b8a\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u80c3\u764c\uff1a<\/b><span style=\"font-weight: 400;\"> \u7d30\u80de\u7570\u5e38\u5206\u5316\uff0c\u6700\u7d42\u60e1\u5316\u70ba\u60e1\u6027\u816b\u7624\u3002<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">\u4e16\u754c\u885b\u751f\u7d44\u7e54\u65e9\u5728 1994 \u5e74\u5c31\u5c07\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u6b78\u985e\u70ba\u4e00\u7d1a\u81f4\u764c\u7269\u3002\u9019\u610f\u5473\u8457\uff0c\u5b83\u4e26\u975e\u55ae\u7d14\u5f15\u8d77\u6d88\u5316\u4e0d\u826f\u7684\u7d30\u83cc\uff0c\u800c\u662f\u76f4\u63a5\u53c3\u8207\u764c\u8b8a\u6a5f\u8f49\u7684\u5371\u96aa\u63a8\u624b\u3002<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"%E7%82%BA%E4%BB%80%E9%BA%BC%E4%BC%81%E6%A5%AD%E5%93%A1%E5%B7%A5%E5%81%A5%E6%AA%A2%E4%B8%80%E5%AE%9A%E8%A6%81%E7%B4%8D%E5%85%A5%E5%B9%BD%E9%96%80%E8%9E%BA%E6%97%8B%E6%A1%BF%E8%8F%8C%E6%AA%A2%E6%9F%A5%EF%BC%9F\"><\/span><b>\u70ba\u4ec0\u9ebc\u4f01\u696d\u54e1\u5de5\u5065\u6aa2\u4e00\u5b9a\u8981\u7d0d\u5165\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u6aa2\u67e5\uff1f<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u904e\u53bb\u8ac7\u5230\u80c3\u90e8\u6aa2\u67e5\uff0c\u591a\u6578\u4eba\u7b2c\u4e00\u53cd\u61c9\u662f\u300c\u7167\u80c3\u93e1\u300d\u5e36\u4f86\u7684\u6050\u61fc\u8207\u4e0d\u9069\uff0c\u5c0e\u81f4\u8a31\u591a\u540c\u4ec1\u5728\u54e1\u5de5\u5065\u6aa2\u6642\u9000\u907f\u4e09\u820d\u3002\u7136\u800c\uff0c\u73fe\u4ee3\u91ab\u5b78\u7be9\u6aa2\u6280\u8853\u65e9\u5df2\u5927\u5e45\u7a81\u7834\uff0c\u6aa2\u6e2c\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u5df2\u4e0d\u5fc5\u541e\u7ba1\u5b50\uff1a<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u975e\u4fb5\u5165\u6027\u6aa2\u67e5\uff0c\u540c\u4ec1\u63a5\u53d7\u5ea6\u9ad8\u9054 100%<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u76ee\u524d\u81e8\u5e8a\u4e0a\u5ee3\u6cdb\u61c9\u7528\u7684\u300c\u7cde\u4fbf\u6297\u539f\u6aa2\u9a57\u300d\u6216\u300c\u78b3-13\uff08C13\uff09\u5c3f\u7d20\u547c\u6c23\u8a66\u9a57\u300d\uff0c\u6e96\u78ba\u5ea6\u7686\u9ad8\u9054 95% \u4ee5\u4e0a\u3002\u540c\u4ec1\u53ea\u9700\u5728\u5bb6\u63a1\u96c6\u5c11\u91cf\u7cde\u4fbf\u6aa2\u9ad4\uff0c\u6216\u5728\u5065\u6aa2\u73fe\u5834\u5439\u6c23\u5e7e\u5206\u9418\uff0c\u7121\u75db\u3001\u7121\u4fb5\u5165\u6027\u3001\u7121\u8f3b\u5c04\uff0c\u5927\u5e45\u6d88\u9664\u5c0d\u80c3\u90e8\u6aa2\u67e5\u7684\u6297\u62d2\u611f\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u6295\u8cc7\u5831\u916c\u7387\u6975\u9ad8\u7684\u300c\u9810\u9632\u6027\u91ab\u7642\u300d<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u8207\u5176\u4ed6\u764c\u75c7\u7be9\u6aa2\u4e0d\u540c\uff0c\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u7684\u7be9\u6aa2\u5177\u5099\u5f37\u70c8\u7684\u300c\u53ef\u6cbb\u7652\u6027\u300d\u3002\u4e00\u65e6\u6aa2\u9a57\u5448\u967d\u6027\uff0c\u53ea\u8981\u5728\u91ab\u5e2b\u6307\u793a\u4e0b\u63a5\u53d7\u7d04 1 \u81f3 2 \u9031\u7684\u6a19\u6e96\u53e3\u670d\u6297\u751f\u7d20\u9664\u83cc\u6cbb\u7642\uff08\u4e09\u5408\u4e00\u6216\u56db\u5408\u4e00\u7642\u6cd5\uff09\uff0c\u6210\u529f\u9664\u83cc\u7387\u53ef\u9054 9 \u6210\u4ee5\u4e0a\uff0c\u80fd\u7acb\u5373\u963b\u65b7\u80c3\u9ecf\u819c\u9032\u4e00\u6b65\u767c\u708e\u8207\u764c\u8b8a\u3002\u82b1\u8cbb\u5c11\u91cf\u7684\u5065\u6aa2\u9810\u7b97\uff0c\u5c31\u80fd\u70ba\u4f01\u696d\u540c\u4ec1\u63db\u4f86\u9577\u671f\u7684\u5065\u5eb7\u4fdd\u969c\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u4fdd\u8b77\u5718\u968a\u7fa4\u805a\u5065\u5eb7\u7684\u8077\u5834\u8cac\u4efb<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u8077\u5834\u4e2d\u5c11\u4e0d\u4e86\u90e8\u9580\u805a\u9910\u3001\u5718\u968a\u53eb\u5916\u8ce3\uff0c\u82e5\u7f3a\u4e4f\u516c\u7b77\u6bcd\u5319\u7fd2\u6163\uff0c\u540c\u4ec1\u9593\u4fbf\u5b58\u5728\u6f5b\u5728\u4ea4\u4e92\u611f\u67d3\u98a8\u96aa\u3002\u4f01\u696d\u82e5\u80fd\u900f\u904e\u5e74\u5ea6\u5065\u6aa2\u7d71\u4e00\u90e8\u7f72\u7be9\u6aa2\u8207\u9664\u83cc\u6307\u5f15\uff0c\u4e0d\u50c5\u80fd\u4fdd\u8b77\u540c\u4ec1\u500b\u4eba\uff0c\u66f4\u5efa\u7acb\u8d77\u7fa4\u9ad4\u5065\u5eb7\u7684\u9632\u8b77\u7db2\u3002<\/span><\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"%E5%93%AA%E4%BA%9B%E8%81%B7%E5%A0%B4%E5%B7%A5%E4%BD%9C%E8%80%85%E6%9C%80%E9%9C%80%E8%A6%81%E5%84%AA%E5%85%88%E7%AF%A9%E6%AA%A2%EF%BC%9F\"><\/span><b>\u54ea\u4e9b\u8077\u5834\u5de5\u4f5c\u8005\u6700\u9700\u8981\u512a\u5148\u7be9\u6aa2\uff1f<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u5728\u898f\u5283\u4f01\u696d\u5065\u5eb7\u798f\u5229\u6642\uff0c\u5efa\u8b70\u4eba\u8cc7\u8207\u8077\u5b89\u885b\u90e8\u9580\u512a\u5148\u5c07\u4ee5\u4e0b\u65cf\u7fa4\u7d0d\u5165\u5c08\u6848\u6aa2\u6e2c\u6216\u63a8\u85a6\u52a0\u9078\uff1a<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u7d93\u5e38\u5916\u98df\u3001\u5546\u52d9\u61c9\u916c\u4ea4\u969b\u8005\uff1a<\/b><span style=\"font-weight: 400;\"> \u983b\u7e41\u5171\u9910\u4e14\u98f2\u98df\u4f5c\u606f\u4e0d\u898f\u5f8b\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u9577\u671f\u6709\u6d88\u5316\u9053\u56f0\u64fe\u8005\uff1a<\/b><span style=\"font-weight: 400;\"> \u7d93\u5e38\u80c3\u9178\u904e\u591a\u3001\u8139\u6c23\u3001\u4e0a\u8179\u60b6\u75db\u3001\u98df\u617e\u4e0d\u632f\u8005\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u4e09\u9910\u4e0d\u6b63\u5e38\u3001\u9ad8\u5de5\u6642\u8207\u9ad8\u58d3\u5de5\u4f5c\u8005\uff1a<\/b><span style=\"font-weight: 400;\"> \u80c3\u9ecf\u819c\u5c4f\u969c\u62b5\u6297\u529b\u8f03\u5f31\uff0c\u6613\u52a0\u5287\u767c\u708e\u75c7\u72c0\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u76f4\u7cfb\u89aa\u5c6c\u6709\u80c3\u764c\u6216\u80c3\u6f70\u760d\u75c5\u53f2\u8005\uff1a<\/b><span style=\"font-weight: 400;\"> \u5c6c\u65bc\u80c3\u764c\u9ad8\u98a8\u96aa\u65cf\u7fa4\uff0c\u66f4\u9700\u53ca\u65e9\u6392\u9664\u611f\u67d3\u56e0\u5b50\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u5e74\u6eff 30 \u6b72\u4ee5\u4e0a\u7684\u8077\u5834\u4e2d\u5805\u4e3b\u529b\uff1a<\/b><span style=\"font-weight: 400;\"> \u53ca\u65e9\u7be9\u6aa2\u3001\u53ca\u65e9\u9664\u83cc\uff0c\u80fd\u9810\u5148\u9632\u6b62\u4e2d\u5e74\u5f8c\u80c3\u9ecf\u819c\u8d70\u5411\u4e0d\u53ef\u9006\u7684\u840e\u7e2e\u8207\u75c5\u8b8a\u3002<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%E7%B5%90%E8%AA%9E%EF%BC%9A%E5%AE%88%E8%AD%B7%E5%93%A1%E5%B7%A5%E8%83%83%E9%83%A8%E5%81%A5%E5%BA%B7%EF%BC%8C%E7%82%BA%E4%BC%81%E6%A5%AD%E6%B0%B8%E7%BA%8C%E6%89%93%E4%B8%8B%E5%9F%BA%E7%9F%B3\"><\/span><b>\u7d50\u8a9e\uff1a\u5b88\u8b77\u54e1\u5de5\u80c3\u90e8\u5065\u5eb7\uff0c\u70ba\u4f01\u696d\u6c38\u7e8c\u6253\u4e0b\u57fa\u77f3<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u54e1\u5de5\u7684\u5065\u5eb7\u662f\u4f01\u696d\u6700\u6838\u5fc3\u7684\u751f\u7522\u529b\u8cc7\u7522\uff0c\u5225\u518d\u8b93\u5718\u968a\u540c\u4ec1\u628a\u300c\u80c3\u75db\u300d\u7576\u4f5c\u656c\u696d\u7684\u4ee3\u50f9\uff0c\u6216\u628a\u6d88\u708e\u6b62\u75db\u85e5\u7576\u4f5c\u61c9\u6025\u89e3\u65b9\u3002<\/span><\/p>\n<p><span style=\"font-weight: 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