摘要
目的:探讨胃镜活检与外科病理检查对早期胃癌的病理诊断的一致性。方法:选择经胃镜活检确诊的75例早期胃癌患者,术后均给予组织病理学检查,对比两种病理诊断结果。结果:术前胃镜活检与术后病理诊断类型一致者47例,诊断一致率为62.7%(47/75),不一致率为37.3%(28/75)。术前胃镜与术后病理在早期胃癌的分化程度上诊断一致率为76.0%(57/75),不一致率为24.0%(18/75)。结论:胃癌患者术前胃镜活检病理检查与外科术后病理检查结果存在一定差异,根据患者胃镜下实际病变情况进行合理取材,可提高胃镜活检病理诊断的准确率。
Objective：To investigate the consistency of endoscopic biopsy and surgical pathologic examination in the diagnosis of early gastric cancer.Method：75 cases of patients who were diagnosed on early gastric cancer by endoscopic biopsy,and which were given histopathological examination after surgery,compared the two pathological diagnosis.Result：47 cases of the diagnose of type were consistency in the preoperative endoscopic biopsy and histopathological examination after surgery,the diagnostic concordance rate was 62.7%（47/75）,the inconsistency rate was 37.3%（28/75）.The differentiation of preoperative endoscopic and pathologic in the diagnosis of early gastric cancer was 76.0%（57/75）,the consistent rate was 24.0%（18/75）.Conclusion：There are some differences in preoperative patients with gastric endoscopy biopsy and surgical pathology findings,drawning according to the actual disease situation under gastroscopy, which could improve the accuracy of endoscopic biopsy diagnosis.
出处
《中外医学研究》
2016年第10期54-55,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胃癌
胃镜活检
病理
Gastric cancer
Endoscopic biopsy
Pathological
