术前胃镜活检病理诊断胃癌的价值分析  

Value Analysis of Preoperative Gastroscopic Biopsy Pathological Diagnosis of Gastric Cancer

作　　者：陈青[1] 王磊[1] 王宪众 Chen Qing;Wang Lei;Wang Xianzhong(Department of Pathology,Binzhou Central Hospital,Binzhou 251700,Shandong Province,China)

机构地区：[1]滨州市中心医院病理科,山东滨州251700

出　　处：《中国社区医师》2023年第14期91-93,共3页Chinese Community Doctors

摘　　要：目的:探讨术前胃镜活检病理诊断胃癌的价值。方法:选取2019年2月—2022年2月滨州市中心医院收治的82例疑似胃癌患者作为研究对象,均接受术前胃镜活检病理与术后病理诊断,以术后病理诊断为“金标准”,分析术前胃镜活检病理诊断胃癌的敏感度、特异性、准确度,比较两组诊断方式对胃癌病理分型、分化程度的检出率。结果:胃镜活检病理诊断结果的敏感度为94.29%,特异性为91.67%,准确度为92.68%。术前胃镜活检病理与术后病理诊断管状腺癌、黏液腺癌、乳头状腺癌、印戒细胞癌的检出率比较,差异无统计学意义(P>0.05)。术前胃镜活检病理对分化型组织的检出率低于术后病理诊断,差异有统计学意义(P=0.042)。结论:胃镜活检病理诊断诊断胃癌的敏感度、特异性、准确度较高,但对于胃癌分化结果的判断上存在一定局限性,此外,具有无创伤的优势,可为手术治疗方案的制定提供一定参考,临床可将其作为术前诊断胃癌的方式。Objective:To investigate the value of preoperative gastroscopic biopsy pathological diagnosis of gastric cancer.Methods:From February 2019 to February 2022,a total of 82 patients with suspected gastric cancer who were treated in Binzhou Central Hospital were selected as the study subjects.All patients received preoperative gastroscopic biopsy pathology and postoperative pathology diagnosis.Postoperative pathological diagnosis was used as the"gold standard"to analyze the sensitivity,specificity and accuracy of preoperative gastroscopic biopsy pathological diagnosis of gastric cancer.The detection rate of the diagnostic methods on the pathological classification and differentiation degree of gastric cancer was compared between two groups.Results:The sensitivity,specificity and accuracy of gastroscopic biopsy pathological diagnosis were 94.29%,91.67%and 92.68%,respectively.There was no significant difference between preoperative gastroscopic biopsy pathology and postoperative pathology diagnosis in the detection rates of tubular adenocarcinoma,mucinous adenocarcinoma,papillary adenocarcinoma and signet-ring cell carcinoma(P>0.05).The detection rate of preoperative gastroscopic biopsy pathology on differentiated tissues was lower than that of postoperative pathology diagnosis,and the difference was statistically significant(P=0.042).Conclusion:Gastroscopic biopsy pathological diagnosis has a high sensitivity,specificity and accuracy in the diagnosis of gastric cancer,but there are certain limitations in the judgment of gastric cancer differentiation results.In addition,it has the advantage of non trauma,which can provide certain reference for the formulation of surgical treatment plan,and can be used clinically as a preoperative diagnosis method of gastric cancer.

关 键 词：胃癌 胃镜活检 病理诊断 

分 类 号：R735.2[医药卫生—肿瘤]