对比探析慢性萎缩性胃炎内镜检查和病理诊断结果.docVIP

对比分析慢性萎缩性胃炎内镜检查和病理诊断结果 　　[摘要] 目的 比较分析慢性萎缩性胃炎（CAG）内镜检查和病理诊断结果。 方法 方便选取该院2013年3月―2015年3月赤峰学院附属医院收治的98例慢性萎缩性胃炎患者作为实验研究对象，活检患者病变处并实施病理检查，比较分析内镜检查与病理检查结果，计算出内镜下检查与病理诊断符合率。结果 内镜检查诊断为慢性萎缩性胃炎98例患者中，经过病理检查诊断为该病的65例，诊断符合率是66.33%，这些确诊病例中有44例为肠上皮化生，21例上皮内瘤变；那些在胃内镜检查中表现出黏膜皱裂趋于平坦或者消失、胃黏膜以红白相间呈现、以白相为主及血管透见等病理症状确诊为该病符合率为91.6%，胃镜检查黏膜呈颗粒或结节状病理症状确诊为该病符合率为81.26%，2种病理症状的疾病确诊符合率差异无统计学意义，P0.05；胃镜检查仅仅看到黏膜皱裂变平或消失，红白黏膜相间，并以白相为主，血管透见内镜表现的疾病诊断符合率为43.5%，与上述2种病理表现的诊断符合率相比明显较低，差异有统计学意义。结论 慢性萎缩性胃炎内镜检查与病理诊断关系密切，患者胃内镜检查病理表现特征主要是胃黏膜变薄、白相及胃黏膜粗糙，应结合使用胃内镜检查与病理诊断，有效提高临床诊断准确率 [关键词] 慢性萎缩性胃炎；内镜检查；病理诊断结果 [中图分类号] R573.32 [文献标识码] A [文章编号] 1674-0742（2016）08（c）-0039-04 Comparative Analysis of Chronic Atrophic Gastritis， Endoscopy and Pathology Results LI Lei1，2，JIANG Na2，WEI Xue-lei1 1. Department of Pathology， Hospital Affiliated to Chifeng College， Chifeng， Inner Mongolia， 024000 China；2. Department of pathophysiology， School of medicine， Chifeng University， Chifeng， Inner Mongolia， 024000 China [Abstract] Objective To compare the analysis of chronic atrophic gastritis of endoscopic examination and pathological diagnosis. Methods Convenient selection chifeng college hospital in March 2013 to March 2015 of 98 cases of chronic atrophic gastritis patients admitted as the research object， the biopsy in patients implementation of pathologic examination and the comparative analysis of endoscopic examination and pathological examination results， calculate the endoscopic and pathological diagnosis coincidence rate， to understand the correlation between the two kinds of inspection diagnosis method. Results Eendoscopic examination in the diagnosis of chronic atrophic gastritis， 98 cases of patients， after pathologic diagnosis of 65 cases of the disease， the diagnosis coincidence rate is 66.33%， these confirmed cases in 44 cases of intestinal metaplasia， 21 cases of intraepithelial neoplasia. Those in gastric endoscopy showed mucosal chap tend to be flat or disappear， gastric mucosa comes in red and whit