胃镜活检与外科病理检查对早期胃癌的诊断价值比较  

Comparative Analysis of the Gastroscopic Biopsy and Surgical Pathologic Examination in the Diagnosis of Early Gastric Cancer

作　　者：孙鹤[1] 黄体政[1] 李洪德[1] 

机构地区：[1]湖北航天医院,432000

出　　处：《实用癌症杂志》2018年第1期106-108,112,共4页The Practical Journal of Cancer

摘　　要：目的探讨胃镜活检与外科病理检查对早期胃癌诊断的一致性。方法选择行胃镜活检、外科手术切除及病理检查确诊的早期胃癌病例58例,比较胃镜活检与术后病理检查的诊断一致率。结果胃镜活检诊断早期胃癌47例,诊断一致率为89.65%。胃镜活检与病理检查对于早期胃癌的组织分型诊断一致率为79.31%(46/58),Kappa值为0.708。两种方法对癌细胞分化程度的诊断一致率为86.21%(50/58),Kappa值为0.718。两种方法对癌细胞浸润深度的诊断一致率为94.83%(55/58),Kappa值为0.884。结论胃镜活检对早期胃癌有较高的诊断价值,但与外科病理检查结果仍具有一定的差异,可依据胃镜下病变实际情况合理取材,以提高胃镜活检的准确率。Objective To study the consistency of gastroscopic biopsy and surgical pathologic examination in the diagno- sis of early gastric cancer. Methods A total of 58 patients with early gastric cancer who accepted gastroscopic biopsy, operation, and pathologic examination were selected. The diagnosing consistency between endoscopic biopsy and surgical pathologic examina- tion was compared. Results Gastroscopy biopsy diagnosis of early gastric cancer in 47 cases, the diagnostic rate was 89.65%. The coincidence rate of endoscopic biopsy and pathology for the diagnosis of early gastric cancer was 79.31% （46/58） and the Kappa was 0. 708. The diagnostic accuracy of the 2 methods was 86.21% （50/58） and the Kappa was 0, 718. The diagnostic ac- curacy of the 2 methods was 94.83% （55/58） and the Kappa was O. 884. Conclusion The gastroscopic biopsy had comparatively high diagnosing value for early gastric cancer, however,it still had some difference with surgical pathologic examination. Specimen should be drawn according to the actual disease situation under gastroscope to increase the accuracy of gastroscopic biopsy diagnosis.

关 键 词：早期胃癌 胃镜活检 病理检查 

分 类 号：R735.2[医药卫生—肿瘤]