摘要
目的:分析并探讨胃镜活检与外科病理诊断胃癌临床结果差异。方法:回顾性分析收治胃镜诊断为胃癌患者132例临床诊治资料。结果:本组患者胃镜活检与外科病理诊断胃癌阳性例数符合率为90.9%;患者中胃镜活检溃疡型所占比例明显高于隆起型与平坦型,组间比较差异有统计学意义(P<0.05);胃镜活检和外科病理诊断为分化型胃癌诊断符合率为94.4%;而分化不良型胃癌诊断符合率仅为54.8%。结论:胃镜活检用于胃癌诊断具有重要应用价值,但是对于低分化型胃癌诊断误差仍然较大,需要引起注意。
Objective:To analysis and investigate the differences of diagnosis results of gastric cancer from endoscopic biospy and surgical pathology. Methods:The clinical data of 132 patients with gastric cancer were analyzed retrospectively in the period from March 2008 to May 2010 in our hospital. Results:The compliance rate is 90. 9% of positive cases of endoscopic biospy diagnosis with surgical pathology diagnosis in this study. The percentage of ulcer type were significantly higher than elevated type and fiat type(P 〈0. 05). The compliance rate is 94.4% of positive cases with differentiated gastric cancer of endoscopic biospy diagnosis with surgical pathology diagnosis, but the rate of positive cases with poorly differentiated gastric cancer is only 54.8%. Conclusion: The diagnosis of gastric cancer with endoscopic biospy possesses important complication values, but there are greater disgnostic errors of poorly differentiated type of gatrie cancer.
关键词
胃镜活检
外科病理诊断
符合率
对比
Endoscopic biopsy
Surgical pathology diagnosis
Compliane rate
Contrast