内镜下胃黏膜形态变化与肠上皮化生的关系  

Investigation on gastric morphological changes of intestinal metaplasia

作　　者：张黎明[1] 刘莉莉[2] 刘华[3] 刘希双[3] 

机构地区：[1]枣庄市立医院消化内科,277101 [2]枣庄市立医院妇产科,277101 [3]青岛大学医学院附属医院内镜诊治科

出　　处：《中国实用医药》2013年第16期35-36,共2页China Practical Medicine

摘　　要：目的研究内镜下胃黏膜形态改变与肠上皮化生的关系。方法对2008～2012年在本院进行内镜检查的5282例患者资料进行回顾性分析,研究肠上皮化生与胃黏膜形态的关系。结果胃镜下不同黏膜形态肠上皮化生的内镜检出率不同,差异有统计学意义(P<0.05)。肠上皮化生在黏膜粗糙、溃疡、小结节(<5mm)顶端伴糜烂或溃疡三种黏膜形态下内镜检出率较高,均超过50%。结论胃镜下黏膜形态与肠上皮化生存在一定的相关性,内镜医师可根据黏膜形态变化在相应部位取材,以增强肠上皮化生的内镜检出率。Objective To study the relationship between changes of endoscopic gastric mucosa morphologies and intestinal metaplasia. Methods Carry out retrospective analysis of data from 5282 patients who have received endoscopy in our hospital from year 2008 to 2012 and analyze the correlation between gastric mucosa morphological changes and intestinal metaplasia. Results The endoscopic detection rates of intestinal metaplasia in different gastric mucosal morphology were significantly different （P0.05）. The endoscopic detection rates of intestinal metaplasia in the morphology of rough, ulcer, small nodules （5 mm） on the top with erosion or ulcer were high, exceeding 50%. Conclusion Gastroscopic mucosal morphology is correlated with histological diagnosis of intestinal metaplasia.

关 键 词：肠上皮化生 胃镜检查 病理诊断 

分 类 号：R735.2[医药卫生—肿瘤]