胃镜活检病理应用于胃癌临床诊断的应用价值分析  

Application Value of Gastroscopic Biopsy for Clinical Diagnosis of Gastric Cancer

作　　者：包辉[1] 曲利明[1] 杨凯[1] 金梦 BAO Hui;QU Liming;YANG Kai;JIN Meng(Department of Pathology,The Second Affiliated Hospital of Xinjiang Medical University,Urumqi Xinjiang 830063,China)

机构地区：[1]新疆医科大学第二附属医院病理科,新疆乌鲁木齐830063

出　　处：《中国继续医学教育》2020年第7期66-68,共3页China Continuing Medical Education

摘　　要：目的分析胃镜活检病理应用于胃癌临床诊断的应用价值。方法选取医院2016年8月—2018年6月接受胃镜活检与病理检查的胃癌患者86例,以病理检查结果为金标准,分析胃癌诊断中胃镜活检的应用价值。术前胃镜活检:实施胃镜检查,观察胃黏膜病变情况。术后病理检查:通过显微镜进行病理观察。结果胃镜活检确诊胃癌72例(83.7%),病理检查86例(100.0%)均为胃癌病例,二者对比存在统计学差异(P<0.05);两种方法对管状腺癌、印戒细胞癌与分化型、分化不良型的判定存在统计学差异(P<0.05)。结论胃癌诊断中胃镜活检与病理检查的结果存在误差,但用于胃癌患者的术前诊断具有一定的临床价值。Objective To analyze the application value of gastroscopic biopsy in the clinical diagnosis of gastric cancer.Methods 86 patients with gastric cancer who underwent gastroscopy biopsy and pathological examination from August 2016 to June 2018 were selected.The pathological examination results were used as the gold standard to analyze the application value of gastroscopy biopsy in the diagnosis of gastric cancer.Preoperative gastroscopy biopsy:a gastroscopy was performed to observe the gastric mucosal lesions.Postoperative pathological examination:pathological observation by microscope.Results 72 cases(83.7%)were diagnosed by gastroscopy biopsy,and 86 cases(100.0%)were pathologically examined.There were statistical differences between the two groups(P<0.05).Two methods for tubular adenocarcinoma and mucinous adenocarcinoma There was a statistical difference between the signet ring cell carcinoma and poor differentiation type(P<0.05).Conclusion There are errors in the results of gastroscopy biopsy and pathological examination in the diagnosis of gastric cancer,but it has certain clinical value for preoperative diagnosis of gastric cancer patients.

关 键 词：胃癌 胃镜活检 病理检查 临床诊断 组织学类型 分化程度 

分 类 号：R735[医药卫生—肿瘤]