摘要
分析胃镜诊断和病理诊断萎缩性胃炎的相关性。选择48例萎缩性胃炎患者,比较胃镜诊断和病理诊断的准确率,并分析其相关性。胃镜诊断为慢性萎缩性胃炎的患者有48例,准确率达100%。病理诊断为慢性萎缩性胃炎的患者有37例,准确率达77.08%,两组数据经比较,差异有统计学意义(P<0.05)。胃镜诊断下的萎缩性胃炎的诊断敏感性在14.67%~86.62%。敏感性最高的胃镜诊断,三种临床表现同时存在,其敏感性达64.28%。胃镜诊断下肠上皮化生为91.68%、异型增生的特异性诊断为86.62%。加强萎缩性胃炎患者的胃镜诊断,并重视其典型部位的组织病理学诊断,对提高萎缩性胃炎的临床诊断准确率有积极作用,可辅助医生及时判定患者的疾病类型,并采取有效的措施积极治疗。
The research analyzes the correlation of gastroscope and pathological diagnosis of atrophic gastritis.48 patients with atrophic gastritis are selected.The accuracy rates of gastroscope and pathological diagnosis are compared,and the correlation is analyzed.48 patients with chronic atrophic gastritis are confirmed by gastroscope,and the accuracy rate reaches 100%.37 patients were confirm with chronic atrophic gastritis by pathological diagnosis,and the accuracy rate is 77.08%.Through comparison,there is statistically significant difference(P<0.05).The diagnosis sensibility of atrophic gastritis by gastroscope is 14.67%~86.62%.Gastroscope has the highest sensibility,with three kinds of clinical presentation.The sensibility reaches 64.28%.The intestinal metaplasia rate by gastroscope reaches 91.68%,and the specificity diagnosis of dysplasia reaches 86.62%.It is suggested to strengthen the gastroscope diagnosis of patients with atrophic gastritis,pay attention to the histopathologic diagnosis of typical positions,improve the positive function of the clinical accuracy of atrophic gastritis,judge the disease type of the patients under the assistance of doctors,and adopt effective measures to treat actively.
作者
项国伟
Xiang Guowei(The People’s Hospital of Linxia, Linxia 731100, China)
出处
《黑龙江科学》
2021年第14期66-67,共2页
Heilongjiang Science
关键词
萎缩性胃炎
胃镜诊断
病理诊断
相关性
准确率
Atrophic gastritis
Gstroscope
Pathological diagnosis
Correlation
Accuracy rate
