胃癌患者术前胃镜活检与外科术后病理的对比研究

Clinical comparative study of gastric cancer patients with preoperative gastroscope biopsy pathology and surgery postoperative pathological

目的:探讨胃癌患者术前胃镜活检与外科术后病理对比情况。方法:76例可疑胃癌患者为研究对象。所有患者术前均经胃镜活检诊断,术后均外科病理检查,对比两者在诊断符合率上情况。结果:诊断结果,术前胃镜活检确诊胃癌84.21%,疑似胃癌11.84%,排除胃癌3.95%;术后病理诊断确诊胃癌94.74%,疑似胃癌0,排除胃癌5.26%。病理结果,术前胃镜活检管状腺癌、黏液腺癌、乳头状腺癌、印戒细胞癌发生率分别为9.21%、38.16%、44.74%、7.89%;术后病理诊断管状腺癌、黏液腺癌、乳头状腺癌、印戒细胞癌发生率分别为19.44%、29.17%、23.61%、27.78%。分化程度,术前胃镜活检分化型占59.21%,分化不良型占40.79%;术后病理诊断分化型占80.56%,分化不良型占19.44%。以上两者比较差异均有统计学意义(P<0.05)。结论:虽然胃镜活检和术后病理不完全一致,但作为术前一种诊断,胃镜活检准确度仍较高。

Objective：To investigate comparative situation in patients with preoperative endoscopic gastric biopsy and surgical pathology. Methods ： All 76 patients with suspected stomach cancer were confirmed by endoscopic biopsy, postoperative surgical biopsy. Results-The diagnosis, preoperative endoscopic gastric biopsy accounted tbr 84.21% ,accounting for 11.84% of suspected stomach cancer, stomach cancer accounted for 3.95% exclusion. Pathological diagnosis of gastric cancer accounted for 94.74% ,0 suspected stomach cancer, stomach cancer 5.26% excluded. The pathological findings：Preoperative endoscopic biopsy tubular adenocarcinoma, mutinous adenocarcinoma, papillary adenocarcinoma, signet ring cell carcinoma rates were 9.21% ,38.16% ,44.74% ,7.89%. Pathological diagnosis ： Tubular adenocarcinoma, mutinous adenocarcinoma, papillary adenocarcinoma, signet ring cell carcinoma rates were 19.44% ,29.17% ,23.61% ,27.78%. Degree of differentiation, the preoperative endoscopic biopsy accounted for 59.21% of differentiated, poorly differentiated type 40.79%. Pathological diagnosis 80.56% of differentiated, poorly differentiated type accounted 19.44% （P 〈 0.05 ）. Conclusion：Although endoscopic biopsy and pathology are not completely consistent, but as a preoperative diagnosis, endoscopic biopsy accuracy is still high.