摘要
目的慢性萎缩性胃炎患者通过胃镜进行检查,将胃镜检查的结果与病理诊断结果进行对照,从而对胃镜检查的检查价值进行评价。方法该院在2016年7月—2019年7月收治的慢性萎缩性胃炎患者中随机抽取60例患者,分别对患者进行病理诊断以及胃镜诊断,胃镜诊断结果作为观察组结果,病理诊断结果为对照组结果;对胃镜检查下的各种胃炎类型的检查情况与病理诊断进行比较,对两组患者的误诊率以及漏诊率进行比较,从而评价胃镜的检查符合率以及诊断价值。结果观察组结果的误诊率以及漏诊率为10.0%(6/60),10.0%(6/60),对照组结果的漏诊率以及误诊率为0.0%(0/60),0.0%(0/60),胃镜检查和病理检查的误诊率以及漏诊率相比,差异有统计学意义(χ^2=6.316、6.316,P<0.05);慢性萎缩性胃炎在胃镜下的诊断结果分别有单纯慢性萎缩性胃炎、合并浅表性胃炎、合并肠上皮化生、合并异性增生4种,胃镜检查的符合率与病理诊断,差异有统计学意义(P<0.05)。结论慢性萎缩性胃炎患者通过胃镜检查,各种疾病类型的诊断符合率较高,诊断价值较高,但是与病理诊断相比具有一定的差异,所以临床中,通过胃镜检查慢性萎缩性胃炎后,还需要通过病理诊断进行确认检查结果。
Objective Patients with chronic atrophic gastritis are examined by gastroscopy, and the results of gastroscopy are compared with the results of pathological diagnosis, so as to evaluate the value of gastroscopy. Methods From July 2016 to July 2019 in the hospital, 60 patients were randomly selected from the patients with chronic atrophic gastritis admitted to the hospital. The pathological diagnosis and gastroscopy diagnosis were performed on the patients.The result of gastroscopy was the result of the observation group, and the result of pathology was the result of the control group;the examination conditions of various types of gastritis under gastroscopy were compared with the pathological diagnosis, and the misdiagnosis rate and missed diagnosis rate of the two groups were compared to evaluate the coincidence rate of gastroscopy and diagnostic value. Results The misdiagnosis rate and misdiagnosis rate of the observation group were 10.0%(6/60), 10.0%(6/60), and the misdiagnosis rate and misdiagnosis rate of the control group were 0.0%(0/60), 0.0%(0/60), compared with the misdiagnosis rate and missed diagnosis rate of gastroscopy and pathological examination, the difference was statistically significant(χ^2=6.316, 6.316, P <0.05);chronic atrophic gastritis under gastroscopy of the diagnosis results were simple chronic atrophic gastritis, combined with superficial gastritis, combined with intestinal metaplasia, combined with heterogeneous hyperplasia, there was a significant difference between the coincidence rate of gastroscopy and pathological diagnosis,(P <0.05). Conclusion In patients with chronic atrophic gastritis, through gastroscopy, the diagnostic coincidence rate of various disease types is high, and the diagnostic value is high, but compared with pathological diagnosis, there are still certain differences. Therefore, in clinical practice, gastroscopy is used to check chronic atrophic after gastritis, pathological diagnosis is needed to confirm the test results.
作者
唐大峻
TANG Da-jun(Department of Pathology,Shizhu County People's Hospital,Chongqing,409100 China)
出处
《系统医学》
2020年第18期26-28,共3页
Systems Medicine
关键词
慢性萎缩性胃炎
胃镜
病理诊断
对照研究
Chronic atrophic gastritis
Gastroscopy
Pathological diagnosis
Control study
