243例电视胃镜改变与临床病理的关系

THE RELATIONSHIPS AMONG CLINICAL DIAGNOSIS, VEDEOENDOSCOPY AND PATHOLOGY IN 243 CASES OF UPPER DIGESTIVE TRACT ILLNESSES

分析了243例电视胃镜检查的一般临床和病理资料。结果发现:临床诊断的常见上消化道疾病,与电视胃镜改变、胃粘膜活检结果存在较大的差距,龙其消化性溃疡的诊断符合率最低(<25％)。电视胃镜诊断与胃粘膜活检之间也存在不一致,致使部分病人误诊误治。本文讨论了临床、胃镜改变与病理诊断的关系。

The clinical diagnoses and the diagnoses made by vedeoendoscopy and biopsy of 243 cases of the upper digestive tract illnesses were reviewed. It was found that in the cases of the common digestive illnesses there was a rather high dscrepancy between the clinical diagnosis and the diagnoses made by the other 2 procedures, especially in peptic ulcer, where the coincidence rate was as low as 25%. Although vedeondoscopy and biopsy of gastric mucosa are considered most dependable means to dignose upper digestive tract diseases, some discrepancy was also present between the reports they made, and hence misdiagnosis and maltreatment are sometimes invited. The relationships between clinical diagnosis and vedeoendoscopy and pathology are discussed.