探讨慢性萎缩性胃炎胃镜下表现与病理诊断对照  

Comparison of Gastroscopy Manifestations and Pathological Diagnosis of Chronic Atrophic Gastritis

作　　者：卢琦林 LU Qi-lin(Pathology Department,Xiamen Fifth Hospital,Xiamen 361101,Fujian Province,China)

机构地区：[1]厦门市第五医院病理科,福建厦门361101

出　　处：《罕少疾病杂志》2024年第11期91-92,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的分析慢性萎缩性胃炎在胃镜下的表现与病理诊断对照,分析其应用价值。方法时间从2022年1月~2023年9月入选,选取我院收治的慢性萎缩性胃炎患者进行分析对比。共有350例患者入组参与研究。按入院顺序,前175例为对照组采用病理诊断方式,后175例为研究组采用胃镜诊断。分析两组患者的诊断结果。结果经过胃镜检查确诊的350例慢性萎缩性胃炎患者在完成病理诊断后,有245例(70.00%)确诊。所有患者经胃镜检查后,有105例(30.00%)患者表现为皱襞变平或消失,胃黏膜呈红白相间,对其进行病理诊断后发现,有63例(60.00%)患者属于慢性萎缩性胃炎。经过胃镜检查,203例(58.00%)患者表现出胃黏膜呈颗粒状、有结节改变,对其进行病理诊断后,有131例(64.53%)患者属于慢性萎缩性胃炎。经过胃镜检查,46例(13.14%)例患者表现为胃黏膜红白相间,出现结节或颗粒状改变,其血管透明,呈皱襞变平,对其进行病理诊断后,有37例(80.43%)例患者属于慢性萎缩性胃炎。针对此种类型,胃镜检查、病理诊断表现出最高的符合率。结论采用胃镜诊断的患者,其疾病检出率更高,诊断结果与病理诊断方式大致一致,可以为临床治疗提供指导意见。Objective To analyze the manifestations of chronic atrophic gastritis under gastroscopy and compare it with pathological diagnosis,and analyze its application value.Methods A total of 350 patients with chronic atrophic gastritis admitted to our hospital from January 2022 to September 2023 were selected and enrolled in the study.According to the order of admission,the first 175 cases served as the control group,using case diagnosis methods,while the subsequent 175 cases constituted the study group,employing gastroscopy for diagnosis.Analyze the diagnostic results of two groups of patients.Results In 350 patients diagnosed with chronic atrophic gastritis through gastroscopy,245(70.00%)were diagnosed after completing pathological diagnosis.After gastroscopy examination,105 patients(30.00%)showed flat or disappeared wrinkles,with alternating red and white gastric mucosa.After pathological diagnosis,it was found that 63 patients(60.00%)belonged to chronic atrophic gastritis.After gastroscopy examination,203 patients(58.00%)showed granular and nodular changes in the gastric mucosa.After pathological diagnosis,131 patients(64.53%)belonged to chronic atrophic gastritis.After gastroscopy examination,46 patients(13.14%)showed alternating red and white gastric mucosa,with nodules or granular changes.Their blood vessels were transparent,showing rupture and flattening.After pathological diagnosis,37 patients(80.43%)belonged to chronic atrophic gastritis.For this type,gastroscopy and pathological diagnosis showed the highest coincidence rate.Conclusion Patients diagnosed with gastroscopy have a higher disease detection rate,and the diagnostic results are roughly consistent with the case diagnosis method,which can provide guidance for clinical treatment.

关 键 词：慢性萎缩性胃炎 病理诊断 胃镜诊断 疾病检出率 

分 类 号：R256.3[医药卫生—中医内科学]