慢性萎缩性胃炎(CAG)病理学指标与内镜表现的关系研究

Study on the Relationship Between the Pathology Index and Endoscopic Findings of Chronic Atrophic Gastritis(CAG)

目的探讨CAG的病理检测结果与内镜检测结果关系。方法选取该院收治CAG患者50例资料,分别按照文中检测方法进行胃窦粘膜的病理学检测、胃镜检测与幽门螺旋杆菌检测(Hp),并对检测结果进行对照分析与统计学比较。结果 50例患者中病理与内镜均诊断萎缩者11例(符合率22.0%),两者血管透见诊断符合者7例(符合率14.0%),胃镜下花斑样变化诊断符合病理者27例(54.0%);Hp阳性者(共35例)中肠上皮化生者为24例(68.6%),活动性炎性者为8例(22.9%),显著高于Hp阴性者检查结果(P<0.05)。结论对CAG患者的胃镜诊断价值较低,最终通过病理性诊断才能进行确诊。

Objective To investigate the relationship between pathological examination results and endoscopic detection results of CAG. Methods The data of 50 cases of patients with CAG admitted in our hospital were summarized. Pathologic examination of the antral mucosa, gastroseopy and helicobacter priori （Hp） detection according to the methods in this paper were given to the pa- tients and the testing results were compared and analyzed statistically. Results Of the 50 cases of patients, 11 cases with atrophy diagnosed by pathology and endoscope （coincidence rate was 22%）, 7 cases with vascular permeability diagnosed by the two modes （coincidence rate was 14%）, 27 cases with piebald changes diagnosed by the two modes （coincidence rate was 54.0%）; of the Hp positive patients （35 cases）, there were 24 cases with intestinal epithelial metaplasia （68.6%）, 8 cases with active inflammation（22.9%）, significantly higher than that of Hp negative test results （P〈0.05）. Conclusion Gastroscopy has lower value in the diagnosis of CAG, the disease can be confirmed finally by pathological diagnosis.