胃癌术前胃镜活检病理与外科术后病理的检查效果及准确性分析  

Analysis of the effect and accuracy of preoperative gastroscopic biopsy and postoperative pathology of gastric cancer

作　　者：宋伟伟 SONG Wei-wei(Department of Pathology,Affiliated Hospital of Putian University,Putian 351100,China)

机构地区：[1]莆田学院附属医院病理科,351100

出　　处：《中国现代药物应用》2023年第23期82-85,共4页Chinese Journal of Modern Drug Application

摘　　要：目的分析胃癌术前胃镜活检病理与外科术后病理的检查效果及准确性。方法60例胃癌患者行切除术根治法,经术后病理均确诊为胃癌。患者均行术前胃镜活检病理及外科术后病理检查。比较术前胃镜活检病理与外科术后病理检查的诊断准确率、病理类型、分化程度。结果术前胃镜活检病理检查显示:2例排除胃癌,3例疑似胃癌,55例确诊胃癌,诊断准确率为91.7%;外科术后病理检查显示:0例排出胃癌,0例疑似胃癌,60例确诊胃癌,诊断准确率100.0%。外科术后病理检查的诊断准确率高于术前胃镜活检病理,差异具有统计学意义(P<0.05)。术前胃镜活检病理显示:低分化腺癌11例(18.3%)、印戎细胞癌9例(15.0%)、乳头状腺癌6例(10.0%)、黏液腺癌5例(8.3%)、管状腺癌26例(43.3%)、其他3例(5.0%);外科术后病理检查显示:低分化腺癌24例(40.0%)、印戎细胞癌8例(13.3%)、乳头状腺癌1例(1.7%)、黏液腺癌2例(3.3%)、管状腺癌20例(33.3%)、其他5例(8.3%)。术前胃镜活检病理与外科术后病理检查的病理类型比较,差异具有统计学意义(P<0.05)。术前胃镜活检病理显示:28例分化差,32例分化好;外科术后病理检查显示:39例分化差,21例分化好。术前胃镜活检病理与外科术后病理检查的分化程度比较,差异具有统计学意义(P<0.05)。结论外科术后病理检查准确性较术前胃镜活检更优,但仍可借助术前胃镜活检评估病情,确定治疗方案。Objective To analyze the effect and accuracy of preoperative gastroscopic biopsy and postoperative pathology of gastric cancer.Methods 60 patients with gastric cancer,who underwent radical resection,were diagnosed with gastric cancer by postoperative pathology.All of them underwent preoperative gastroscopic biopsy and postoperative pathology examination.The diagnostic accuracy,pathological type and differentiation degree of preoperative gastroscopic biopsy and postoperative pathological examination were compared.Results Preoperative gastroscopic biopsy showed that 2 cases of gastric cancer were excluded,3 cases of suspected gastric cancer and 55 cases of confirmed gastric cancer,the diagnostic accuracy was 91.7%.Pathological examination after surgery showed that 2 cases excluded gastric cancer,3 cases suspected gastric cancer,and 55 cases confirmed gastric cancer,with a diagnostic accuracy rate of 91.7%;postoperative pathologic examination showed that 0 case excluded gastric cancer,0 case suspected gastric cancer,and 60 cases confirmed gastric cancer,with a diagnostic accuracy rate of 100.0%.The diagnostic accuracy rate of postoperative pathological examination was higher than that of preoperative gastroscopy biopsy,and the difference was statistically significant(P<0.05).Preoperative gastroscopic biopsy showed that 11 cases(18.3%)of poorly differentiated adenocarcinoma,9 cases(15.0%)of signet-ring cell carcinoma,6 cases(10.0%)of papillary adenocarcinoma,5 cases(8.3%)of mucinous adenocarcinoma,26 cases(43.3%)of tubular adenocarcinoma,and 3 other cases(5.0%).Postoperative pathological examination showed that there were 24 cases(40.0%)of poorly differentiated adenocarcinoma,8 cases(13.3%)of signet-ring cell carcinoma,1 case(1.7%)of papillary adenocarcinoma,2 cases(3.3%)of mucinous adenocarcinoma,20 cases(33.3%)of tubular adenocarcinoma,and 5 other cases(8.3%).There was statistically significant difference between preoperative gastroscopic biopsy and postoperative pathological examination(P<0.05).Preoperative gastro

关 键 词：术前胃镜活检 术后病理检查 胃癌 病理类型 准确率 

分 类 号：R735.2[医药卫生—肿瘤]