胃癌内镜表现与活检病理诊断的对比研究  

Comparative Study of Endoscopic and Biopsy in the Diagnosis of Gastric Carcinoma

作　　者：王桂菊[1] 

机构地区：[1]河南大学附属南石医院/南阳南石医院病理科,河南南阳473000

出　　处：《中国继续医学教育》2016年第21期44-45,共2页China Continuing Medical Education

摘　　要：目的探讨胃癌内镜表现与活检病理诊断。方法选取我院疑似胃癌或者确诊胃癌的患者100例,所有患者实施内镜检查,同时进行病理活检。结果本研究100例患者,诊断出71例患者患有胃癌,其余29例患者为可疑癌变或者良性病变。显微镜下观察,所有患者的病理组织分类如下:21例患者为粘液腺癌,18例患者为低分化腺癌,12例患者为乳头状腺癌,9例患者为印绒细胞癌,23例患者为高度疑癌,17例患者为胃黏膜慢性炎伴急性炎性渗出。结论针对胃癌或疑似胃癌患者的检查,比较普遍的应用方式是内镜表现与活检病理诊断,医师必须提高自身操作能力,不断提升内镜表现与活检病理诊断符合率。Objective To explore the endoscopic features of gastric cancer and the pathological diagnosis of biopsy. Methods 100 cases of suspected gastric cancer or gastric cancer patients in our hospital were selected, all patients underwent endoscopic examination,at the same time to carry out pathological biopsy. Result In all the 100 studied patients, 71 patients were diagnosed with gastric cancer, the remaining 29 cases were suspicious malignant or benign lesions.Observation group was under microscope, the pathological tissues of all patients were classiifed as follows： 21 patients with mucinous adenocarcinoma, 18 patients with poorly differentiated adenocarcinoma, 12 patients with papillary adenocarcinoma, 9 patients with signet ring cell carcinoma, 23 patients were highly suspected cancer, 17 patients with chronic inflammation of gastric mucosa with acute inflammation. Conclusion The examination of patients with gastric cancer or suspected gastric cancer, the common methods were endoscopic characteristics and pathological diagnosis of biopsy, the physician must improve their operation ability, to improve the compliance rate of endoscopic diagnosis and biopsy.

关 键 词：胃癌 内镜表现 活检病理 

分 类 号：R745[医药卫生—神经病学与精神病学]