胃癌患者术前胃镜活检病理与外科术后病理分析
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摘要
目的探讨术前胃镜活检病理检查在胃癌患者诊断中的临床价值。方法选择2017年1月—2018年9月我院收治的75例疑似胃癌患者作为研究对象,以外科术后病理诊断结果作为金标准,分析术前胃镜活检病理检查对胃癌的诊断结果。结果以外科术后病理诊断结果作为金标准,术前胃镜活检病理对胃癌的灵敏度、特异度、准确率、阳性预测值、阴性预测值分别为96.55%、94.12%、96.00%、98.25%、88.89%,其对不同病理分型胃癌的诊断符合率与外科术后病理比较,差异无统计学意义(P> 0.05),且其与外科术后病理诊断结果的一致性良好。结论术前胃镜活检病理检查可对胃癌予以灵敏、准确检出。
Objective To investigate the clinical value of preoperative endoscopic biopsy in the diagnosis of gastric cancer. Methods 75patients with suspected gastric cancer in our hospital from January 2017 to September 2018 were selected as the study objects. The results of preoperative gastroscopic biopsy and pathological examination for gastric cancer were analyzed. Results The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of preoperative gastroscopic biopsy for gastric cancer were 96.55%, 94.12%, 96.00%, 98.25% and 88.89% respectively. The diagnostic coincidence rate of preoperative gastroscopic biopsy for different pathological types of gastric cancer was not statistically different from that of postsurgical pathology. The difference was statistically significant between the two groups(P>0.05), and its consistency with postoperative pathological diagnosis is good. Conclusion Preoperative endoscopic biopsy can detect gastric cancer sensitively and accurately.
Objective To investigate the clinical value of preoperative endoscopic biopsy in the diagnosis of gastric cancer. Methods 75patients with suspected gastric cancer in our hospital from January 2017 to September 2018 were selected as the study objects. The results of preoperative gastroscopic biopsy and pathological examination for gastric cancer were analyzed. Results The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of preoperative gastroscopic biopsy for gastric cancer were 96.55%, 94.12%, 96.00%, 98.25% and 88.89% respectively. The diagnostic coincidence rate of preoperative gastroscopic biopsy for different pathological types of gastric cancer was not statistically different from that of postsurgical pathology. The difference was statistically significant between the two groups(P>0.05), and its consistency with postoperative pathological diagnosis is good. Conclusion Preoperative endoscopic biopsy can detect gastric cancer sensitively and accurately.
引文
[1]马春艳.胃癌患者术前胃镜活检病理与外科术后病理的比较[J].河北医学,2014,20(1):135-137.
[2]陈明,蒋树丽,王亚伟,等.胃镜组织学活检与细胞学刷检对胃癌的诊断价值比较[J].实用医学杂志,2016,32(5):784-785.
[3]王卫,郭珊岚.胃癌患者术前胃镜活检与外科术后病理的对比研究[J].现代肿瘤医学,2016,24(1):80-82.
[4]杨勇,田敏.胃镜活检病理对胃癌诊断价值分析[J].现代消化及介入诊疗,2017,22(5):653-654.
[5]冼丽英.胃镜活检与外科病理诊断胃癌及HER2检测的对比研究[J].中国医学创新,2014,7(21):80-82,83.
[6]邱晓娣,潘翔珍,梁群英,等.胃镜下活检在胃黏膜高级别上皮内瘤变诊断中的应用[J].广西医科大学学报,2016,33(2):310-312.
[7]马艺宁,熊淑杰.胃癌术前胃镜活检与外科术后大体标本病理诊断的差异分析[J].中国医药科学,2015,5(24):28-30,34.
[8]瓮亚菡.术前胃镜活检与胃癌根治术后常规病理检查结果分析[J].河南外科学杂志,2015,21(3):128-129.
[9]郭峰.胃镜活检与外科病理诊断胃癌的临床比较研究[J].中国卫生标准管理,2015,6(32):188-189.
[10]邓玉华,任道强,严石春,等.胃镜活检与术后病检对胃癌的诊断结果比较[J].医学理论与实践,2016,29(5):666-667.
[11]武丽萍.内镜联合窄带成像技术靶向活检用于早期胃癌诊断的研究[J].中国实验诊断学,2018,22(5):794-797.
[12]汤胜君,曹彬,张元瑞,等.胃黏膜活检诊断高级别上皮内瘤变与胃镜下形态特征及术后病理的对比分析[J].现代消化及介入诊疗,2015,20(1):9-11,15.
[2]陈明,蒋树丽,王亚伟,等.胃镜组织学活检与细胞学刷检对胃癌的诊断价值比较[J].实用医学杂志,2016,32(5):784-785.
[3]王卫,郭珊岚.胃癌患者术前胃镜活检与外科术后病理的对比研究[J].现代肿瘤医学,2016,24(1):80-82.
[4]杨勇,田敏.胃镜活检病理对胃癌诊断价值分析[J].现代消化及介入诊疗,2017,22(5):653-654.
[5]冼丽英.胃镜活检与外科病理诊断胃癌及HER2检测的对比研究[J].中国医学创新,2014,7(21):80-82,83.
[6]邱晓娣,潘翔珍,梁群英,等.胃镜下活检在胃黏膜高级别上皮内瘤变诊断中的应用[J].广西医科大学学报,2016,33(2):310-312.
[7]马艺宁,熊淑杰.胃癌术前胃镜活检与外科术后大体标本病理诊断的差异分析[J].中国医药科学,2015,5(24):28-30,34.
[8]瓮亚菡.术前胃镜活检与胃癌根治术后常规病理检查结果分析[J].河南外科学杂志,2015,21(3):128-129.
[9]郭峰.胃镜活检与外科病理诊断胃癌的临床比较研究[J].中国卫生标准管理,2015,6(32):188-189.
[10]邓玉华,任道强,严石春,等.胃镜活检与术后病检对胃癌的诊断结果比较[J].医学理论与实践,2016,29(5):666-667.
[11]武丽萍.内镜联合窄带成像技术靶向活检用于早期胃癌诊断的研究[J].中国实验诊断学,2018,22(5):794-797.
[12]汤胜君,曹彬,张元瑞,等.胃黏膜活检诊断高级别上皮内瘤变与胃镜下形态特征及术后病理的对比分析[J].现代消化及介入诊疗,2015,20(1):9-11,15.