摘要
目的目的探究消化内镜下病理活检对慢性萎缩性胃炎肠上皮化生程度及病理类型诊断的临床效果。方法方法以2024年1月-2025年1月为研究时间,纳入上海中冶医院110例慢性萎缩性胃炎患者为观察对象,接受病理活检、消化内镜检查,开展消化内镜下病理活检。对不同诊断形式的相关结果进行统计,另评价联合诊断在慢性萎缩性胃炎肠上皮化生程度、病理类型方面的应用效果。结果结果轻度、中度、重度肠上皮化生程度患者的胃黏膜皱襞、血管透见、肠上皮化生表现方面存在统计学差异(P<0.05)。消化内镜下病理活检的诊断敏感度比单独诊断高,特异度高于单一诊断方式的相关结果(P<0.05)。结论基于消化内镜下病理活检应用,可提高慢性萎缩性胃炎肠上皮化生程度、病理类型诊断准确性。
Objective To explore the clinical effect of pathological biopsy under digestive endoscopy in the diagnosis of intestinal metaplasia degree and pathological type in chronic atrophic gastritis.Methods From January 2024 to January 2025,110 patients with chronic atrophic gastritis in Shanghai Zhongye Hospital were included as the observation objects.Pathological biopsy and digestive endoscopy were performed,and pathological biopsy was carried out under digestive endoscopy.They underwent pathological biopsy and digestive endoscopy,and pathological biopsy under digestive endoscopy was carried out.The relevant results of different diagnostic forms were statistically analyzed,and the application effect of combined diagnosis in the degree of intestinal metaplasia and pathological types of chronic atrophic gastritis was evaluated.Results There were statistically significant differences in gastric mucosal folds,vascular permeability,and manifestations of intestinal metaplasia among patients with mild,moderate,and severe intestinal metaplasia degrees(P<0.05).The diagnostic sensitivity of pathological biopsy under digestive endoscopy is higher than that of single diagnosis,and the specificity is higher than the relevant results of single diagnostic methods(P<0.05).Conclusion Based on the application of pathological biopsy under digestive endoscopy,the diagnostic accuracy of intestinal metaplasia degree and pathological type in chronic atrophic gastritis can be improved.
作者
刘帅
刘虹
Liu Shuai;Liu Hong(Shanghai Zhongye Hospital,Shanghai 200941,China)
出处
《首都食品与医药》
2025年第22期49-51,共3页
Capital Food Medicine
关键词
消化内镜下病理活检
慢性萎缩性胃炎
肠上皮化生
病理类型
诊断效果
Digestive endoscopy
pathological biopsy Chronic atrophic gastritis
Intestinal metaplasia Pathological type
Diagnostic effect
