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目的:对慢性胃炎胃镜下形态与组织病例改变情况进行调查。方法:选择2013年2月-2015年2月间我院收治的167例慢性胃炎患者,入院后均行胃镜检查和病理检查,调查两种检查结果并比较分析。结果:胃镜诊断为萎缩性胃炎21例,病理诊断为萎缩性胃炎24例,胃镜诊断为非萎缩性胃炎146例,病理诊断为非萎缩性胃炎143例,两种方式比较,差异无统计学意义(P>0.05)。胃镜在非萎缩性胃炎中的敏感度为94.7%,阳性预测值为92.5%;其在萎缩性胃炎中的敏感度为95.2%,阳性预测值为94.8%。146例非萎缩性胃炎患者有17例病理诊断存在淋巴滤泡,4例病理诊断为肠化生,19例病理诊断为活动性类症,78例病理诊断为幽门螺杆菌阳性。胃镜检查萎缩部位在胃窦者13例,部位在胃小弯者7例,在胃底、胃大弯者1例;病理检查萎缩部位在胃窦者15例,在胃小弯者6例,在胃底、胃大弯者3例。结论:单一胃镜检查敏感度略低,因此需要结合病理检测共同检查。
Objective: To investigate the changes of the morphology and histological changes of chronic gastritis under endoscopy. Methods: A total of 167 patients with chronic gastritis admitted to our hospital from February 2013 to February 2015 were enrolled in the study. Gastroscopy and pathology were performed after admission. The results of the two tests were compared and analyzed. Results: 21 cases of atrophic gastritis were diagnosed by gastroscopy, 24 cases were atrophic gastritis, 146 cases of non-atrophic gastritis were diagnosed by gastroscopy, and 143 cases were non-atrophic gastritis. There was no significant difference between the two methods (P> 0.05). Gastroscopy in non-atrophic gastritis, the sensitivity was 94.7%, the positive predictive value was 92.5%; its sensitivity in atrophic gastritis was 95.2%, the positive predictive value was 94.8%. Of the 146 patients with non-atrophic gastritis, 17 had pathological diagnosis of lymphoid follicles, 4 were pathologically diagnosed as intestinal metaplasia, 19 were pathologically diagnosed as active disease, and 78 were pathologically diagnosed as Helicobacter pylori positive. Atrophic gastroscopy in 13 patients with atrioventricular antrum, part of the lesser curvature of the stomach in 7 cases, in the stomach fundus, stomach big bend in 1 case; pathological examination of atrophy in the antrum of the stomach in 15 cases, 6 cases of gastric lesser, In the stomach, stomach big bend in 3 cases. Conclusions: The sensitivity of a single gastroscopy is slightly lower and therefore needs to be checked in combination with pathological examination.