电子胃镜在诊断胃溃疡患者中的临床应用

Clinical application of electronic gastroscope in diagnosing gastric ulcer patients

目的:分析与评价电子胃镜在诊断胃溃疡患者中的临床应用,为临床治疗提供依据。方法:选取经病例活检确诊的148例胃溃疡患者,所有患者均进行电子胃镜检查,回顾性分析其电子胃镜显示结果,并与病理确诊结果进行对比,评价电子胃镜在诊断胃溃疡患者中的准确性。结果:148例胃溃疡患者,经病理确诊均为良性,诊断准确率为100%。电子胃镜显示140例良性胃溃疡患者,诊断准确率为94.6%。其中,穿孔58例(占39.2%)、出血62例(占41.9%);幽门梗阻49例(占33.1%)、合并两种及以上37例(占25.0%)。结论:电子胃镜可以观察到胃黏膜的微细结构,准确发现胃溃疡患者的并发症,对诊断胃溃疡患者的准确率高,临床上值得广泛应用。

Objective： To analyze and evaluate the electronic gastroscope clinical application （1985-）in diagnosing gastric ulcer patients, providing theoretical basis to clinical treatment. Methods： The research objects were our hospital digestive internal medicine treating and diagnosed 148 cases gastric ulcer patients, all patients were doing electronic gastroscopy. Retrospectively analyzed electronic gastroscope biopsy results and compared the results with the pathological diagnosis results, evaluating electronic gastroscopy accuracy in the diagnosis of gastric ulcer patients. Results： One hundred and forty-eight cases gastric ulcer patients, pathological diagnosis results were benign, diagnostic accuracy was 100%. Electronic gastroscope showed that 140 benign gastric ulcer patients, diagnosis accuracy rate was 94.6%. Among them, the gastric perforation 58 cases, accounting for39.2%, hemorrhage 62 cases, accounting for 41.9%; pyloric obstruction 49 cases, accounting for 33.1%, combined two kinds of lesions and more than 37 cases, accounting for 25.0%. Conclusion： Electronic gastroscopy can observe the fine structure of the gastric mucosa, accurately identify gastric ulcer patients, having high accuracy in diagnosis of gastric ulcer patients and widely clinical application worth.