胃镜活检和术中冰冻病理检查对胃间质瘤的诊断价值

Diagnostic Value of Gastroscopic Biopsy and Intraoperative Frozen Pathological Examination for Gastric Stromal tumor

目的在胃间质瘤的检查诊断中,采用胃镜活检和术中冰冻病理检查方式,探究两种检测方式的诊断价值。方法回顾性分析吉林省吉林中西医结合医院2016年3月至2019年3月期间收治的84例胃间质瘤患者的临床资料进行分析。将手术标本病理检测作为参考指标,分析胃镜活检和术中冰冻病理的诊断准确率。结果84例患者经手术标本病理检测后,有40例良性,30例交界性,有14例恶性。在行胃镜检查的80例患者中,有28例患者进行胃镜活检,确诊胃间质瘤患者为10例,2例疑似。40例患者行术中快速冰冻病理检查,确诊胃间质瘤患者为16例;有14例提示本病。结论在胃间质瘤的检查诊断中,胃镜活检和术中冰冻病理检查的诊断准确率较低,应不断选用新的诊断方式对胃间质瘤进行诊断,提升疾病诊断价值。

Objective In the diagnosis of gastric stromal tumors,gastroscopic biopsy and intraoperative frozen pathological examination are used to explore the diagnostic value of the two detection methods.Methods The clinical data of 84 patients with gastric stromal tumor admitted in Jilin Integrated Traditional Chinese and Western Medicine Hospital from March 2016 to March 2019 were analyzed retrospectively.The pathological examination of surgical specimens was used as a reference index to analyze the diagnostic accuracy of gastroscopic biopsy and intraoperative frozen pathology.Results After pathological examination of surgical specimens in 84 patients,40 were benign,30 were borderline,and 14 were malignant.Among the 80 patients undergoing gastroscopy,28 patients underwent gastroscopy biopsy.There were 10 confirmed gastric stromal tumors and 2 suspected.Forty patients underwent intraoperative rapid frozen pathological examination,and 16 patients were diagnosed with gastric stromal tumor;14 cases suggested this disease.Conclusion In the diagnosis of gastric stromal tumor,the diagnostic accuracy of gastroscopic biopsy and intraoperative frozen pathological examination is low.New diagnostic methods should be used to diagnose gastric stromal tumors to improve the value of disease diagnosis.