胃癌在镜下取活检的诊断分析

目的客观评估胃癌患者使用内窥镜做活检当作主要手段。方法诊断50例胃癌患者与手术的病理结果比较分析。结果胃镜活检对胃癌的确诊率为80.00%。胃镜活检根据BorrmannⅠ的胃癌诊断:诊断率100%;BorrmannⅡ诊断率71。43%。Bor-rmannⅢ诊断率66.67%,BorrmannⅣ型病变胃镜活检确诊率最低。结果表明胃镜活检对分化型肿瘤的组织学分化程度确诊率最高,确诊率为89.47%。胃镜活检对腺癌的术前检出率最高,确诊率为85.71%。结论胃镜活检对胃癌的诊断是重要的。但胃镜检查做活检的组织确定的程度只是做为参考,实际情况应依据的外科手术切除为准。

Objective To evaluate the effects of the gastric cancer patients with the use of Endoscopic Biopsy.Methods Used as the main means of endoscopic biopsy diagnosis of 50 cases of gastric cancer patients with surgical pathology results of the comparison.Results Endoscopic biopsy of gastric cancer diagnosis rate of 80.00%.Biopsy gastroscope which Borrmann Ⅰ type of the highest rates of disease diagnosis,diagnosis rate of 100.00%;Borrmann Ⅱ type followed for the diagnosis rate 71.43%;Bor-rmann Ⅲ confirmed the rate of the third type,diagnosis rate of 66.67%;Borrmann Ⅳ type lesion Gastroscope biopsy confirmed a lower rate.In addition,endoscopic biopsy of the tumor differentiated degree of histological confirmed a high rate of diagnosis rate of 89.47%;preoperative endoscopic biopsy of adenocarcinoma of the preoperative detection rate is very high,diagnosis rate of 85.71%.Conclusion Endoscopic biopsy pathology in the diagnosis of gastric cancer are important,but gastroscopy biopsy of the tissue to determine the degree of differentiation as a reference only,the actual situation should be based on surgical resection specimens,whichever is the histopathological examination.