内镜与病理学检测在慢性萎缩性胃炎诊断中的价值

Value of endoscope and pathological detection in the diagnosis of chronic atrophic gastritis

目的 探讨内镜与病理学检测在慢性萎缩性胃炎诊断中的临床价值.方法 对73例经内镜诊断为慢性萎缩性胃炎患者的病变部位进行病理活检,比较内镜检查结果及病理检查结果符合率.结果 本组51例患者经病理诊断确诊为慢性萎缩性胃炎,诊断符合率为69.9％.3种内镜表现与病理诊断符合率比较差异均有统计学意义(P＜0.05),其中主要以内镜下表现为白相为主十黏膜变薄十粘膜粗糙患者的病理诊断符合率最高.结论 内镜和病理诊断结合可以显著提高慢性萎缩性胃炎的诊断准确率,具有较高的临床诊断价值.

Objective To investigate the clinical value of endoscope and pathological detection in the diagnosis of chronic atrophic gastritis. Methods 73 patients with chronic atrophic gastritis diagnosed by endoscopy were selected, the lesion site of the patient were given pathological biopsy, the compliance rates of endoscopic examination and pathological examination results were compared. Results 51 patients were diagnosed as chronic atrophic gastritis by pathological diagnosis, the diagnostic rate was 69.9％. There was statistic significance in the compliance rate between three endoscopic findings and the pathologic diagnosis(P＜0.05),the pathologic diagnosis of the patients with white phase, mucosal thinning and mucosal roughness had the highest compliance rate. Conclusion The combination of endoscope and pathological detection can effectively improve the correct diagnostic rate of chronic atrophic gastritis, with higher clinical diagnostic value.