胃镜下活检胃黏膜上皮内瘤变高级别在甘肃省甘南藏区的应用  

Application of Gastric Mucosa Intraepithelial Neoplasia High Level in Gannan Tibetan Area

作　　者：卢桂芬 LU Gui-fen(Cadre Health Bureau of Ganan Tibetan Autonomous Prefecture of Gansu Province,Gannan 747000,China)

机构地区：[1]甘肃省甘南州干部保健局,甘肃甘南747000

出　　处：《西北民族大学学报（自然科学版）》2020年第2期64-66,共3页Journal of Northwest Minzu University(Natural Science)

摘　　要：目的:探讨甘南藏区胃镜活检病理诊断上皮内瘤变高级别在早期胃癌诊断中的价值.方法:选取2012年2月—2015年2月在本地区医院收治的20例上皮内瘤变患者为研究对象,均行手术治疗,回顾分析其临床资料来评价胃镜活检病理诊断的意义.结果:本组20例患者,术前行胃镜活检,结果显示20例为上皮内瘤变高级别.术后常规病理切片检查,结果显示20例诊断均为胃癌,其中5例为早期胃癌(占25%),15例为进展期胃癌(占75%).术前与术后的诊断进展期胃的Borrmann分型无统计学意义.结论:胃镜活检病理诊断上皮内瘤变高级别在早期胃癌诊断中具有一定的准确性,应在临床上推广应用.Objective To investigate the value of pathological diagnosis of intraepithelial neoplasia high level by gastroscope biopsy in early gastric cancer in Gannan Tibetan area.Methods Twenty patients of endoepithelial neoplasia were selected as research objects from February 2012 to February 2015 in the region's hospitals.All the patients were treated with surgery.The clinical data were analyzed retrospectively to evaluate the significance of pathological diagnosis by gastroscope biopsy.Results 20 patients were examinated by gastroscope biopsy before operation,the results showed that they were all intraepithelial neoplasia high level.And all cases were diagnosed as gastric cancer by routine pathological section after operation,including 5 cases of early gastric cancer(25%),15 cases of advanced gastric cancer(75%).There was no statistical significance in Borrmann classification between preoperative and postoperative diagnosis of advanced gastric cancer.Conclusion The pathological diagnosis of intraepithelial neoplasia high level by gastroscopy biopsy had some certain accuracy in the diagnosis of early gastric cancer,which should be popularized in clinic.

关 键 词：胃镜活检 上皮内瘤变 早期胃癌 诊断应用 

分 类 号：R735.2[医药卫生—肿瘤]