中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
23期
181-183
,共3页
慢性萎缩性胃炎%内镜%病理%诊断%幽门螺旋杆菌%相关性%价值%阳性率%符合率
慢性萎縮性胃炎%內鏡%病理%診斷%幽門螺鏇桿菌%相關性%價值%暘性率%符閤率
만성위축성위염%내경%병리%진단%유문라선간균%상관성%개치%양성솔%부합솔
Chronic atrophic gastritis%Endoscopy%Pathology%Diagnosis%Helicobacter pylori%Correlation%Value%Positive rate%Co-incidence rate
目的：探究内镜在慢性萎缩性胃炎诊断中的应用价值以及慢性萎缩性胃炎。方法回顾性分析2011年2月—2014年9月份入该院就诊的慢性萎缩性胃炎患者60例,其中单纯性慢性萎缩性胃炎28例,慢性萎缩性胃炎伴增生32例,均分别进行内镜诊断和病理诊断,分析比较内镜诊断与病理诊断符合率情况,以及比较不同病理类型和不同萎缩程度的慢性萎缩性胃炎患者的幽门螺旋杆菌感染阳性率。结果内镜对单纯性慢性萎缩性胃炎的诊断符合率为71.4%,对慢性萎缩性胃炎伴增生的诊断率较高为96.9%,内镜诊断慢性萎缩性胃炎伴增生符合率明显高于单纯性萎缩性胃炎,差异具有统计学意义(P<0.05)；慢性萎缩性胃炎伴增生患者的HP感染阳性率明显高于单纯性慢性萎缩性胃炎,差异有统计学意义(P<0.01)；萎缩程度重者,HP感染阳性率较高,差异具有统计学意义(P<0.01)。结论研究可知,内镜诊断慢性萎缩性胃炎伴增生符合率较高,临床上内镜检查可作为慢性萎缩性胃炎重要的辅助诊断手段,且HP感染阳性率随着萎缩程度的加重而增高。
目的：探究內鏡在慢性萎縮性胃炎診斷中的應用價值以及慢性萎縮性胃炎。方法迴顧性分析2011年2月—2014年9月份入該院就診的慢性萎縮性胃炎患者60例,其中單純性慢性萎縮性胃炎28例,慢性萎縮性胃炎伴增生32例,均分彆進行內鏡診斷和病理診斷,分析比較內鏡診斷與病理診斷符閤率情況,以及比較不同病理類型和不同萎縮程度的慢性萎縮性胃炎患者的幽門螺鏇桿菌感染暘性率。結果內鏡對單純性慢性萎縮性胃炎的診斷符閤率為71.4%,對慢性萎縮性胃炎伴增生的診斷率較高為96.9%,內鏡診斷慢性萎縮性胃炎伴增生符閤率明顯高于單純性萎縮性胃炎,差異具有統計學意義(P<0.05)；慢性萎縮性胃炎伴增生患者的HP感染暘性率明顯高于單純性慢性萎縮性胃炎,差異有統計學意義(P<0.01)；萎縮程度重者,HP感染暘性率較高,差異具有統計學意義(P<0.01)。結論研究可知,內鏡診斷慢性萎縮性胃炎伴增生符閤率較高,臨床上內鏡檢查可作為慢性萎縮性胃炎重要的輔助診斷手段,且HP感染暘性率隨著萎縮程度的加重而增高。
목적：탐구내경재만성위축성위염진단중적응용개치이급만성위축성위염。방법회고성분석2011년2월—2014년9월빈입해원취진적만성위축성위염환자60례,기중단순성만성위축성위염28례,만성위축성위염반증생32례,균분별진행내경진단화병리진단,분석비교내경진단여병리진단부합솔정황,이급비교불동병리류형화불동위축정도적만성위축성위염환자적유문라선간균감염양성솔。결과내경대단순성만성위축성위염적진단부합솔위71.4%,대만성위축성위염반증생적진단솔교고위96.9%,내경진단만성위축성위염반증생부합솔명현고우단순성위축성위염,차이구유통계학의의(P<0.05)；만성위축성위염반증생환자적HP감염양성솔명현고우단순성만성위축성위염,차이유통계학의의(P<0.01)；위축정도중자,HP감염양성솔교고,차이구유통계학의의(P<0.01)。결론연구가지,내경진단만성위축성위염반증생부합솔교고,림상상내경검사가작위만성위축성위염중요적보조진단수단,차HP감염양성솔수착위축정도적가중이증고。
Objective To explore the application value of endoscopy in the diagnosis of chronic atrophic gastritis and chronic at-rophic gastritis associated with Helicobacter pylori. Methods A retrospective analysis of 60 patients with chronic atrophic gastritis from February 2011 to September 2014, including 28 cases of simple chronic atrophic gastritis, chronic atrophic gastritis with hy-perplasia 32 cases, were performed endoscopic diagnosis and pathological diagnosis rate is consistent with the analysis, comparison of endoscopic diagnosis and pathological diagnosis, and H. pylori in chronic atrophic gastritis patients with different pathological types and comparison of different shrinking infection positive rate. Results Endoscopic diagnosis of simple chronic atrophic gastri-tis with the rate of 71.4%, the diagnosis of chronic atrophic gastritis with proliferation rate was as high as 96.9%, endoscopic diag-nosis of chronic atrophic gastritis with proliferation rate was significantly higher than that of atrophic gastritis, the difference was statistically significant (P<0.05).Endoscopic diagnosis of chronic atrophic gastritis with hyperplasia of the coincidence rate with pathological diagnosis of the differences are slight, no statistical significance (P>0.05), chronic atrophic gastritis with hyperplasia of the infection rate of HP significantly higher than that of simple chronic atrophic gastritis, the difference was statistically significant (P<0.05), atrophy severity, the infection rate of HP is higher, with statistically significant difference(P<0.01). Conclusion The study shows, endoscopic diagnosis of chronic atrophic gastritis with hyperplasia coincidence rate is high, clinical endoscopy can be used as auxiliary diagnostic means of chronic atrophic gastritis is important, and the infection rate of HP increased with the aggravation of atrophy.
