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黏膜切除术后病理在早期食管癌及其癌前病变诊断中的应用价值 被引量:4

Application value of pathological diagnosis after mucosal resection in the diagnosis of early esophageal cancer and its precancerous lesions
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摘要 目的分析黏膜切除术后病理在早期食管癌及其癌前病变诊断中的价值,并对其诊断特点进行探讨。方法选择2008年4月~2015年4月我院收治的100例行黏膜切除术的患者,回顾性分析其早期食管癌及其癌前病变的诊断结果,并与活检病理诊断结果比较,分析两种诊断结果的差异性。结果与术前活检病理诊断结果比较,术后病理诊断的诊断符合率明显更高(P〈0.05),诊断不足率和诊断过度率明显更低(P〈0.05);黏膜切除术后病理诊断的早期浸润癌变及癌前病变的检出率明显更高(P〈0.05)。结论黏膜切除术后病理诊断早期食管癌及其癌前病变的准确性较高,可为食管癌的早期诊断和治疗提供参考依据。 Objective To analyze the value of pathological diagnosis after mucosal resection in the diagnosis of early esophageal cancer and its precancerous lesions,and to discuss the diagnosis characteristics.Methods 100 patients who were admitted to our hospital and given mucosal resection from April 2008 to April 2015 were selected as research subjects.The diagnosis results of early esophageal cancer and its precancerous lesions were retrospectively analyzed,and were compared with the diagnosis results of pathological biopsy.The differences of the two diagnosis results were analyzed.Results Compared with the diagnosis results of pre-operative pathological biopsy,the diagnosis rate of postoperative pathological diagnosis was significantly higher(P0.05),and insufficient diagnosis rate and excessive diagnosis rate were significantly lower(P0.05).The detection rate of early invasive carcinoma and precancerous lesions in the pathological diagnosis group after mucosal resection was significantly higher(P 0.05).Conclusion Pathological diagnosis after mucosal resection in the diagnosis of early esophageal cancer and its precancerous lesions has high accuracy,which is able to provide valuable basis and reference for the early diagnosis and treatment of esophageal cancer.
作者 李贵春
出处 《中国当代医药》 2015年第36期93-95,99,共4页 China Modern Medicine
关键词 黏膜切除术后 病理 早期食管癌 癌前病变 诊断价值 Post-mucosal resection Pathology Early esophageal cancer Precancerous lesions Diagnosis value
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