CAJ | 학술논문

目的：探究影响消化内镜医师诊断老年慢性萎缩性胃炎的相关因素。方法选取132例老年胃炎患者，并对其行内镜检查、病理检查以及综合检查，以综合检查为准，比较内镜检查与病理检查的敏感度、特异度及准确率。结果单独采用内镜检查的诊断率低于病理检查和综合检查，并且单独采用内镜检查结果的敏感度、特异度及准确率均低于采用组织病理学切片检查结果，差异显著（P＜0.05）。结论临床上应将内镜检查与组织病理学切片检查相结合，以提高临床慢性萎缩性胃炎诊断的准确性。
목적：탐구영향소화내경의사진단노년만성위축성위염적상관인소。방법선취132례노년위염환자，병대기행내경검사、병리검사이급종합검사，이종합검사위준，비교내경검사여병리검사적민감도、특이도급준학솔。결과단독채용내경검사적진단솔저우병리검사화종합검사，병차단독채용내경검사결과적민감도、특이도급준학솔균저우채용조직병이학절편검사결과，차이현저（P＜0.05）。결론림상상응장내경검사여조직병이학절편검사상결합，이제고림상만성위축성위염진단적준학성。
Objective To explore the impact of relevant factors digestive endoscopy diagnosed elderly patients with chronic atrophic gastritis. Method Selected 132 cases of elderly patients with gastritis, with endoscopy, pathology and comprehensive examination, subjected to a comprehensive examination. Compared endoscopic and pathologic examination of the sensitivity, specificity and accuracy. Result Separately using endoscopy diagnosis rate was lower than the comprehensive and pathology examination, and the use of endoscopy alone sensitivity, speciifcity and accuracy were lower than the results of the use of biopsy histopathology, there were signiifcantly different (P<0.05). Conclusion The accuracy of clinical and endoscopic examination should be histopathological biopsy, and enhance the clinical diagnosis of chronic atrophic gastritis.