世界最新医学信息文摘(连续型电子期刊)
世界最新醫學信息文摘(連續型電子期刊)
세계최신의학신식문적(련속형전자기간)
World Latest Medicine Information
2015年
77期
10-11
,共2页
胃镜活检%外科病理诊断%胃癌%价值
胃鏡活檢%外科病理診斷%胃癌%價值
위경활검%외과병리진단%위암%개치
Endoscopic biopsy%Surgical pathology diagnosis%Gastric cancer%Value
目的:探讨胃镜活检和外科病理诊断胃癌的临床意义。方法选取2013年3月至2015年3月期间在我院治疗胃癌的57例患者的临床资料进行回顾性分析,分析其临床检查情况。结果胃镜诊断可以将胃癌分为溃疡型、平坦型以及隆起型三种,其中溃疡型共有36例(63%),平坦型共9例(16%),隆起型共12例(21%),病理组织检查可以将胃癌分为息肉型、管状腺癌以及粘液性癌三种,其中息肉型共32例(56%)、管状腺癌14例(25%),粘液性癌共11例(19%);胃镜检查,早期胃癌共8例(14%),进展期胃癌共49例(86%);应用胃镜检查中阳性患者共53例,阳性率为93%,误诊例数为4例,误诊率为7%,应用外科病理检查的阳性患者共57例,阳性率为100%,误诊率为0%。两组患者不同方式检查的阳性率比较,差异无统计学意义,P>0.05。结论胃镜检查要紧密的和外科检查相结合,根据临床经验,快速、准确的对胃癌进行及早的诊断,从而提高临床的治疗效果。
目的:探討胃鏡活檢和外科病理診斷胃癌的臨床意義。方法選取2013年3月至2015年3月期間在我院治療胃癌的57例患者的臨床資料進行迴顧性分析,分析其臨床檢查情況。結果胃鏡診斷可以將胃癌分為潰瘍型、平坦型以及隆起型三種,其中潰瘍型共有36例(63%),平坦型共9例(16%),隆起型共12例(21%),病理組織檢查可以將胃癌分為息肉型、管狀腺癌以及粘液性癌三種,其中息肉型共32例(56%)、管狀腺癌14例(25%),粘液性癌共11例(19%);胃鏡檢查,早期胃癌共8例(14%),進展期胃癌共49例(86%);應用胃鏡檢查中暘性患者共53例,暘性率為93%,誤診例數為4例,誤診率為7%,應用外科病理檢查的暘性患者共57例,暘性率為100%,誤診率為0%。兩組患者不同方式檢查的暘性率比較,差異無統計學意義,P>0.05。結論胃鏡檢查要緊密的和外科檢查相結閤,根據臨床經驗,快速、準確的對胃癌進行及早的診斷,從而提高臨床的治療效果。
목적:탐토위경활검화외과병리진단위암적림상의의。방법선취2013년3월지2015년3월기간재아원치료위암적57례환자적림상자료진행회고성분석,분석기림상검사정황。결과위경진단가이장위암분위궤양형、평탄형이급륭기형삼충,기중궤양형공유36례(63%),평탄형공9례(16%),륭기형공12례(21%),병리조직검사가이장위암분위식육형、관상선암이급점액성암삼충,기중식육형공32례(56%)、관상선암14례(25%),점액성암공11례(19%);위경검사,조기위암공8례(14%),진전기위암공49례(86%);응용위경검사중양성환자공53례,양성솔위93%,오진례수위4례,오진솔위7%,응용외과병리검사적양성환자공57례,양성솔위100%,오진솔위0%。량조환자불동방식검사적양성솔비교,차이무통계학의의,P>0.05。결론위경검사요긴밀적화외과검사상결합,근거림상경험,쾌속、준학적대위암진행급조적진단,종이제고림상적치료효과。
Objective To investigate clinical significance of endoscopic biopsy and surgical pathology in diagnosis of gastric cancer. Methods choose clinical data of 57 patients with gastric cancer treated in our hospital from March 2013 to March 2015 and carry on retrospectively analysis on clinical checkup. Results through gastroscope diagnosis, gastric cancer may be divided into ulcer type, flat type, and bulge type, among them, there are 36 cases of ulcer type(63%), flat type of 9 cases (16%), bulge type of 12 cases (21%). Through pathological tissue examination, gastric cancer may be divided into polyp type, tubular adenocarcinoma and mucinous type, among them, there are 32 cases of polyp type (16%), 14 cases of tubular adenocarcinoma (25%), 11 cases of mucinous type(19%). Through gastroscope checkup, there are 8 cases early stage gastric cancer(14%), 49 cases advanced gastric cancer(86%). And there are 53 cases positive patients with positive rate of 93%, and misdiagnosis cases 4 with misdiagnosis rate of 7%. Through surgical pathology diagnosis, 57 case were positive with positive rate of 100%, and misdiagnosis rate of 0%. Comparison between positive rate through different checking method of two group patients showed no statistical significance, P>0.05. Conclusion gastroscopy checkup should be closely combined with surgical examination to make fast, accurate and early diagnosis of gastric cancer according to clinical experience to improve clinical treatment effect.