术前活检与术后病理在疑似上消化道早期癌诊断中的效果评价  

Evaluation of Preoperative Biopsy and Postoperative Pathology in the Diagnosis of Suspected Early Upper Gastrointestinal Cancer

作　　者：廖荣娥 LIAO Rong'e(Department of Pathology,Youxi General Hospital,Youxi 365100,China)

机构地区：[1]尤溪县总医院病理科,福建尤溪365100

出　　处：《中国医药指南》2022年第33期90-92,共3页Guide of China Medicine

摘　　要：目的 研究术前活检、术后病理诊断在疑似上消化道癌早期诊断中的应用价值,对诊断效果进行评价。方法 利用回顾分析法进行研究,选取2021年3月至2022年2月期间我院收治的80例疑似上消化道早期癌患者作为研究对象,所有患者经过术后病理确诊,对比术前活检与术后病理在疾病诊断中的应用效果,对诊断结果一致性与准确度进行比较。结果 对疑似上消化道早期癌患者的术前活检与术后病理进行对比后,发现食管病变30例,其中食管病变轻判3例,食管病变重判4例,检查结果符合率为76.67%;共计检查出食管-贲门交界处病变28例,其中食管-贲门交界处病变轻判3例,食管-贲门交界处病变重判5例,检查结果符合率为71.43%;共计检查出胃部病变22例,其中胃部病变轻判2例,胃部病变重判4例,符合率为72.73%;术前活检与术后病理在上消化道黏膜低级别上皮内瘤变的检出率中存在差异(P <0.05);术前活检与术后病理在上消化道黏膜高级别上皮内瘤变的检出率的对比中,有统计学差异(P <0.05)。结论 在上消化道早期癌的诊断中,使用术前活检与术后病理进行诊断效果理想,能够提升诊断结果准确率,为临床治疗方案选择提供参考。Objective To study the application value of preoperative biopsy and postoperative pathological diagnosis in the early diagnosis of suspected upper gastrointestinal cancer,and evaluate the diagnostic effect.Methods Retrospective analysis was used to study 80 patients with suspected early upper gastrointestinal cancer admitted to our hospital from March 2021 to February 2022.All patients were confirmed by postoperative pathology.The application effect of preoperative biopsy and postoperative pathology in disease diagnosis was compared,and the consistency and accuracy of diagnosis results were compared.Results After comparing preoperative biopsy and postoperative pathology of patients suspected of early upper gastrointestinal cancer,30 cases of esophageal lesions were found,including 3 cases of mild esophageal lesions and 4 cases of severe esophageal lesions,with a coincidence rate of 76.67%;A total of 28 cases of esophageal cardiac junction lesions were detected,including 3 cases of esophageal cardiac junction lesions with light judgment and 5 cases of esophageal cardiac junction lesions with severe judgment.The coincidence rate of the results was 71.43%;A total of 22 cases of gastric lesions were detected,including 2 cases of mild gastric lesions and 4 cases of severe gastric lesions,with a coincidence rate of 72.73%;There was a difference between preoperative biopsy and postoperative pathology in the detection rate of low-grade intraepithelial neoplasia of upper gastrointestinal mucosa(P<0.05);There was significant difference between preoperative biopsy and postoperative pathology in the detection rate of high-grade intraepithelial neoplasia of upper gastrointestinal mucosa(P<0.05).Conclusion In the diagnosis of early cancer of upper digestive tract,preoperative biopsy and postoperative pathology are ideal,which can improve the accuracy of diagnosis and provide reference for clinical treatment.

关 键 词：术前活检 术后病理 上消化道早期癌 诊断 

分 类 号：R735[医药卫生—肿瘤]