病理检查与胃镜检查诊断慢性萎缩性胃炎的相关性研究

Pathology and Endoscopy Diagnosis of Chronic Atrophic Gastritis Correlation

目的研究病理检查与胃镜检查诊断慢性萎缩性胃炎的相关性。方法整群选取该院2014年1—4月中收治的慢性萎缩性胃炎患者115例进行回顾性分析调查,分别对115例患者进行病理检查与胃镜检查,将病理检查结果计为病理诊断组,将胃镜检查结果计为胃镜诊断组。对比两组检查结果,并分析两种检查方式在诊断萎缩性胃炎方面的相关性。结果胃镜诊断组115例患者均被诊断为慢性萎缩性胃炎。病理诊断组70例被诊断为萎缩性胃炎。对比两组检出率发现,胃镜组远大于病理组,两组比较差异有统计学意义(χ2=4.697,P=0.023)。另外,两组诊断符合率为60.87%(70/115)(K=0.294,P=0.023)。结论慢性萎缩性胃炎胃镜检查与粘膜病理活检的一致性较差,并且与病理活检比较,胃镜检查的应用价值有限,因此临床仍需采用后者作为诊断慢性萎缩性胃炎的主要方法。

Objective To study the correlation between pathological examination and diagnosis of chronic atrophic gastritis.Methods 2014 years 1 month to 4 months were chronic atrophic gastritis patients with 115 cases were retrospective investigation and analysis, respectively, of 115 patients with pathological examination and gastroscopy and pathological examination results for pathological diagnosis group, gastroscopy results gastroscope diagnosis group. To compare the results of the two groups, and to analyze the correlation between the two methods in the diagnosis of atrophic gastritis. Results All115 patients were diagnosed as chronic atrophic gastritis. Pathological diagnosis group, 70 cases were diagnosed as atrophic gastritis. The detection rate of the two groups was found to have a statistically significant difference between the two groups(χ2=4.697, P =0.023). In addition, the diagnostic accuracy of the two groups was 60.87%(70/115)(K =0.294,P =0.023).Conclusion The consistency of chronic atrophic gastritis by gastroscopy and pathological biopsy is poor and with pathological biopsy compared the application value of endoscopy is limited clinical, so still need to the latter for diagnosis of chronic atrophic gastritis(CAG) is the main method.