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病理诊断与内镜诊断在胃黏膜肠上皮化生诊断中的相关性分析 预览

Correlation analysis of pathological diagnosis and endoscopic diagnosis in the diagnosis of intestinal metaplasia of gastric mucosa
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摘要 目的:探讨病理诊断与内镜诊断在胃黏膜肠上皮化生诊断中的相关性。方法:收治行胃黏膜肠上皮化生病理诊断患者70例,回顾性分析其病理诊断资料,采用内镜观察其胃黏膜肠上皮化生的临床表现特点,将观察结果与病理诊断结果对比。结果:70例患者中,内镜诊断胃黏膜肠上皮化生41例,诊断准确率58.57%。内镜诊断重度胃黏膜肠上皮化生的诊断准确率明显高于轻度和中度(P〈0.05);内镜诊断Ⅲ型胃黏膜肠上皮化生的诊断准确率明显高于Ⅰ型和Ⅱ型(P〈0.05)。结论:内镜诊断胃黏膜肠上皮化生能够清楚反映其形态特征,诊断准确率与胃黏膜肠上皮化生的病变程度、分型呈正相关性。 Objective:To explore the correlation of pathological diagnosis and endoscopic diagnosis in the diagnosis of intestinal metaplasia of gastric mucosa.Methods:70 patients with pathological diagnosis of intestinal metaplasia of gastric mucosa were selected,and the pathological data were analyzed retrospectively.We used endoscopy to observe the clinical features of the intestinal metaplasia of the gastric mucosa and compare the results with the pathological diagnosis.Results:Of the 70 patients,41 cases of gastric mucosa metaplasia were diagnosed by endoscopy,and the diagnostic accuracy was 58.57%.The diagnostic accuracy of endoscopic diagnosis of severe gastric mucosa metaplasia was significantly higher than the mild and moderate intestinal metaplasia of gastric mucosa(P〈0.05).The diagnostic accuracy of endoscopic diagnosis of type Ⅲ intestinal metaplasia of gastric mucosa was significantly higher than the type Ⅰ and type Ⅱ(P〈0.05).Conclusion:Endoscopy can clearly reflect the morphological characteristics in the diagnosis of intestinal metaplasia of gastric mucosa.The accuracy of diagnosis was positively correlated with the degree and classification of intestinal metaplasia of gastric mucosa.
作者 徐志强 Xu Zhiqiang(The People's Hospital of Yilong County(Nanchong City,Sichuan Province)637400)
机构地区 仪陇县人民医院
出处 《中国社区医师》 2018年第8期128-129,共2页 CHinese Community Doctors
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