胃癌术前胃镜活检准确率的分析

胃癌术前胃镜活检准确率的分析
高原
【期刊名称】《辽宁医学院学报》
【年(卷),期】2014(000)004
【摘要】Objective This paper aims at comparing the differences between endoscopic biopsy and pathological diagnosis of gas-tric cancer patients. Methods 145 patients diagnosed with gastric cancer from the First Affiliated Hospital of Liaoning Medical Uni-versity were chosen in this experiment. Stomach endoscope for preoperative examination was used to all of the patients before surgical operations. Then we compared the differences between endoscopic biopsy and postoperative pathological diagnosis of gastric cancer to find the conclusion. Results The diagnosis rate of endoscopic biopsy reached 85.5%. In the aspect of differentiation, the detection rate of differentiated tumors was 83.5%, which was obviously higher than the rate of poorly differentiated tumors which was only 33.3%. In the aspect of histologic type, the detection rate of adenocarcinoma was 90.1%, which is higher than that of other types of tumors. Conclusion It is effective to perform case analysis and find pathological changes by endoscopic biopsy at the stage of preoper-ative diagnosis. It should be widely accepted and applied as the basis for surgical diagnosis.%目的：主要是比较了胃癌患者在手术之前胃镜结果与手术之后病理结果的差别。

方法在实验当中，一共收治了145例来自于辽宁医学院附属第一医院的确诊胃癌患者。

对这
些患者进行了手术治疗，使用胃窥镜来进行术前检查。

对比患者手术之前与手术之后的病理表现。

结果在手术之前使用胃窥镜进行检查能达到85.5%的诊断率。

在分化程度方面，对分化型肿瘤的检出率为83.5%，明显高于对分化不良型肿瘤的33.3%检出率。

在组织学类型方面，对腺癌的检出率为90.1%，明显高于对其他类型肿瘤的检出率，并且各不同类型肿瘤的检出率不同。

结论在胃癌患者的术前诊断阶段，使用胃窥镜来进行病例分析并找到病变位置的方法十分有效，应当得到相关单位的广泛接受与应用，作为外科诊断的依据之一。

【总页数】3页(P16-18)
【作者】高原
【作者单位】辽宁医学院，辽宁锦州121001
【正文语种】中文
【中图分类】R735.2
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1.胃癌术前胃镜活检与术后病理诊断的差异分析 [J], 万霞; 陈萍
2.胃癌患者术前胃镜活检病理与胃癌根治术后病理结果的对比分析 [J], 张跃
3.胃癌患者术前胃镜活检病理与胃癌根治术后病理结果的对比分析 [J], 张跃
4.胃癌术前胃镜活检病理与外科术后病理的临床分析 [J], 吕丹丹
5.术前胃镜活检病理诊断胃癌的临床价值及准确度分析 [J], 周君
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