CAG病理诊断结果与胃镜诊断结果的相关性分析  

Correlation Analysis of CAG Pathological Diagnosis and Gastroscopy Diagnosis

作　　者：李岩 侯新颖 王玉敏 LI Yan;HOU Xin-ying;WANG Yu-min(Department of Internal Medicine,Chengfeng Hospital of Daqing Oilfield,Daqing 163411,Heilongjiang Province,China)

机构地区：[1]大庆油田乘风医院内科,黑龙江大庆163411

出　　处：《罕少疾病杂志》2022年第4期65-67,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的分析CAG病理诊断结果与胃镜诊断结果的相关性。方法择取2019年1月至2020年12月本院经胃镜诊断为慢性萎缩性胃炎(CAG)的患者191例,均接受活检病理检查,分析病理诊断结果,将CAG胃镜与病理诊断相符者设为观察组,不相符者设为对照组,分析两组资料差异。结果191例胃镜诊断为CAG患者通过病理诊断为CAG者96例(50.26%),非CAG者95例(49.74%);观察组Hp感染率、嗜烟率、嗜酒率等与对照组比较差异有统计学意义(P<0.05),观察组胆汁反流史率、高血压率等与对照组间差异无统计学意义(P>0.05);甲、乙、丙组对比Hp感染率等比较,差异有统计学意义(P<0.05);三组间胃镜下不同表现间差异有统计学意义(P<0.05)。结论胃镜能够检出部分CAG患者,与病理检查结果存在一定的差异,但二者诊断结果存在一定的相关性。Objective To analyze the correlation between pathological diagnosis of CAG and gastroscopy.Methods 191 patients with chronic atrophic gastritis(CAG)diagnosed by gastroscopy in our hospital from January 2019 to December 2020 were selected,all of them underwent biopsy and pathological examination,and the pathological diagnosis results were analyzed.The patients with CAG gastroscopy consistent with pathological diagnosis were set as the observation group,and the patients with CAG gastroscopy inconsistent with pathological diagnosis were set as the control group.Results among 191 patients diagnosed as CAG by gastroscopy,96 cases(50.26%)were diagnosed as CAG by pathology,and 95 cases(49.74%)were not diagnosed as CAG by pathology;there were significant differences in HP infection rate,smoking rate and drinking rate between the observation group and the control group(P<0.05);there were no significant differences in history rate of bile reflux and high blood pressure rate between the observation group and the control group(P>0.05);there were no significant differences in HP infection rate,smoking rate and drinking rate among the three groups(P>0.05)There was significant difference in infection rate(P<0.05),and there was significant difference in gastroscopic manifestations among the three groups(P<0.05).Conclusion Gastroscopy can detect part of CAG patients,and there is a certain difference between the results of pathological examination,but there is a certain correlation between the two diagnostic results.

关 键 词：慢性萎缩性胃炎 病理学 胃镜检查 

分 类 号：R573.3[医药卫生—消化系统]