胃炎的胃镜检查与病理诊断的价值探讨  

Exploration of the Value of Gastroscopy and Pathological Diagnosis of Gastritis

作　　者：杨蔚峰[1] 李莹[2] 邹尤宝[1] 班洁虹[1] 杨新弘 郑守鑫 YANG Weifeng;LI Ying;ZOU Youbao;BAN Jiehong;YANG Xinhong;ZHENG Shouxin(Department of Gastroenterology,First People's Hospital of Qinzhou,Qinzhou,Guangxi Zhuang Autonomous Region,535000 China;Department of Pathology,First People's Hospital of Qinzhou,Qinzhou,Guangxi Zhuang Autonomous Region,535000 China)

机构地区：[1]广西钦州市第一人民医院消化内科,广西钦州535000 [2]广西钦州市第一人民医院病理科,广西钦州535000

出　　处：《系统医学》2023年第4期190-193,共4页Systems Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200547)。

摘　　要：自身免疫性胃炎是一种特殊型胃炎,由于自身免疫机制,而出现抗胃壁细胞抗体引起胃底腺的破坏,引起高度胃黏膜萎缩,早期诊断对临床治疗方案制定有重要价值。窄带成像技术(narrow-band imaging,NBI)已广泛应用于早期消化道早癌的筛查诊断,但目前国内尚无采用胃镜诊断与活检后病理进行自身免疫性胃炎的对照研究。本研究拟通过分析NBI的价值,并与活检后病理作比较,明确自身免疫性胃炎胃镜与病理诊断的临床表现,探讨胃镜在诊断自身免疫性胃炎方面的潜在价值。Autoimmune gastritis is a special type of gastritis.Due to the autoimmune mechanism,the emergence of anti-parietal cell antibodies can cause damage to the fundic glands and high gastric mucosal atrophy.Early diagnosis is of great value for the formulation of clinical treatment plans.Narrow-band imaging(NBI)has been widely used in the screening and diagnosis of early gastrointestinal cancers.However,there is no comparative study of autoimmune gastritis using gastroscopy diagnosis and pathology after biopsy in China.This study intends to analyze the value of NBI and compare it with pathology after biopsy,to clarify the clinical manifestations of autoimmune gastritis gastroscopy and pathological diagnosis,to discuss the potential value of gastroscopy in the diagnosis of autoimmune gastritis.

关 键 词：自身免疫性胃炎 胃镜 病理诊断 实验室检查 

分 类 号：R573[医药卫生—消化系统]