胃癌975例内镜表现与活检病理诊断的对比研究  

Contrast Studies on the Endoscopic Features and the Pathological Diagnosis to Endoscopic Biopsy in 975 Cases of Gastric Cancer

作　　者：曾远程[1] 陆志平[1] 

机构地区：[1]江苏省常熟市第二人民医院消化内科,江苏常熟215500

出　　处：《中国血液流变学杂志》2011年第4期626-628,644,共4页Chinese Journal of Hemorheology

摘　　要：目的探讨内镜下对病灶组织有效活检，以提高内镜活检病理诊断的阳性检出率。方法975例胃癌患者内镜肉眼诊断与镜下病理活检标本及手术切除标本送检作病理检查，比较二者的符合率并作对比分析。结果内镜诊断胃癌936例。良性病变或可疑癌变39例，与病理活检符合的占83．69％．见少量核大异型细胞高度癌疑的占3．69％，上皮内瘤变的占5．74％，炎症性改变的占6．87％。结论内镜检查结合活检是诊断胃癌的最主要检查方法，但实际工作中二者有一定的差异，除与活检取材所限，反映病变性质不够全面，还与胃镜医师及病理科医师自身的业务素质及经验有关。Objective To investigate effective biopsy to diseased lesions under endoscope,in order to improve pathology diagnosis of positive detection rate of endoscopic biopsy.Methods 975 cases of gastric cancer patients endoscopic diagnosis and a naked eye pathologic biopsy specimens and surgical resection specimen were sent to the pathology to check, and the accuracy of comparison and contrast analysis were done.Results 936 cases were diagnosed gastric cancer with endoscopic biopsy, benign lesions or suspicious cancerous 39 cases,83.69% meet with pathology, small nuclear big alien cells of highly suspected cancer accounted for 3.69%,intraepithelial neoplasia accounted for 5.74%,inflammatory change accounted for 6.87%.Conclusion Endoscopic check with biopsy is the main inspection method in the diagnosis of stomach cancer, but there is a certain difference in the actual work.In addition to the limit of the materials of biopsy, reflected lesions are not comprehensive,also it has something to do with the professional quality and experience of gastroscope physicians and pathologists.

关 键 词：胃癌 病理诊断 内镜活检 病理诊断 活组织检查 

分 类 号：R735.2[医药卫生—肿瘤]