胃镜活检病理应用于胃癌临床诊断的效果
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摘要
目的探讨在胃癌诊断的过程中应用胃镜活检病理的临床效果。方法方便抽取该院在2017年9月—2018年9月接受治疗的112例胃癌患者作为该次实验的研究主体,分别对其进行胃镜活检的诊断方式以及手术活检的诊断方式,收集并统计患者检查结果的有关信息,并且对比检查结准确率、病变形态、组织类型以及分化情况。结果按照患者手术后的病理检查结果作为参照标准,胃镜活检的检出率为77例(68.75%),其中,疑似患者为26例(23.21%),其余9例(8.04%)患者并未确诊。胃镜活检的诊断几率、对于病变形态、组织类型以及分化情况和手术活检相比较低。手术活检的检出率112(100.00%)显著高于胃镜活检77例(68.75%),差异有统计学意义(χ~2=41.482,P<0.05)。结论在胃癌诊断的过程中应用胃镜活检病理的方式,诊断准确率相对较高,但是还需要结合手术活检的方式,更加利于诊断的准确度。临床上可以结合上述两种检查方式,进而减少误诊以及漏诊的发生,为患者提供更为及时和有效的治疗。
Objective To investigate the clinical effect of gastroscopic biopsy in the diagnosis of gastric cancer. Methods A total of 112 patients with gastric cancer who were treated in our hospital from September 2017 to September 2018 were convenient selected and enrolled as the main subjects of this study. The diagnostic methods of gastroscopic biopsy and the diagnostic methods of surgical biopsy were collected and collected. The relevant information of the patient examination results was counted, and the accuracy of the examination, the morphology of the lesion, the type of tissue, and the differentiation were compared. Results According to the pathological examination results of patients after operation, the detection rate of gastroscopic biopsy was 77 cases(68.75%), of which 26 cases(23.21%) were suspected patients, and the remaining 9 cases(8.04%) were not diagnosed. The diagnostic probability of gastroscopic biopsy was lower for lesion morphology, tissue type,and differentiation compared with surgical biopsy. The detection rate of surgical biopsy 112(100.00%) was significantly higher than that of 77 cases(68.75%) with gastroscopy biopsy, the difference was statistically significant(χ~2= 41.482, P<0.05). Conclusion The application of gastroscopy biopsy in the diagnosis of gastric cancer has a relatively high diagnostic accuracy, but it also needs to be combined with surgical biopsy to make the diagnosis more accurate. Clinically, the above two examination methods can be combined to reduce the occurrence of misdiagnosis and missed diagnosis, and provide more timely and effective treatment for patients.
Objective To investigate the clinical effect of gastroscopic biopsy in the diagnosis of gastric cancer. Methods A total of 112 patients with gastric cancer who were treated in our hospital from September 2017 to September 2018 were convenient selected and enrolled as the main subjects of this study. The diagnostic methods of gastroscopic biopsy and the diagnostic methods of surgical biopsy were collected and collected. The relevant information of the patient examination results was counted, and the accuracy of the examination, the morphology of the lesion, the type of tissue, and the differentiation were compared. Results According to the pathological examination results of patients after operation, the detection rate of gastroscopic biopsy was 77 cases(68.75%), of which 26 cases(23.21%) were suspected patients, and the remaining 9 cases(8.04%) were not diagnosed. The diagnostic probability of gastroscopic biopsy was lower for lesion morphology, tissue type,and differentiation compared with surgical biopsy. The detection rate of surgical biopsy 112(100.00%) was significantly higher than that of 77 cases(68.75%) with gastroscopy biopsy, the difference was statistically significant(χ~2= 41.482, P<0.05). Conclusion The application of gastroscopy biopsy in the diagnosis of gastric cancer has a relatively high diagnostic accuracy, but it also needs to be combined with surgical biopsy to make the diagnosis more accurate. Clinically, the above two examination methods can be combined to reduce the occurrence of misdiagnosis and missed diagnosis, and provide more timely and effective treatment for patients.
引文
[1]桑怀鸣,蒋建霞.胃镜活检诊断食管高级别上皮内瘤变的可靠性分析[J].胃肠病学和肝病学杂志,2018,27(6):653-656.
[2]苏昭然,王贤,束宽山,等.胃镜活检病理为高级别上皮内瘤变的外科精准治疗[J].中国普通外科杂志,2018,27(4):401-407.
[3]史玲,孙晓勤,史玉梅,等.胃癌患者术前胃镜活检病理与外科术后病理诊断结果的差异[J].大医生,2017,2(Z2):216,250.
[4]郝晓雯,孙秀静,李鹏.超声内镜引导下穿刺活检对常规胃镜活检阴性病灶的诊断价值[J].首都医科大学学报,2018,39(5):657-662.
[5]夏润辉.食管黏膜病变患者术前胃镜活检病理与内镜黏膜下剥离术术后病理的异同对比[J].世界最新医学信息文摘,2018,18(83):64,69.
[6]向圆圆,吕农华,陈幼祥,等.胃镜活检在胃黏膜病变内镜黏膜下剥离术治疗中的价值[J].中华临床医师杂志:电子版,2017,11(22):2389-2393.
[7]李航,吴锷,刘盛,等.胃癌患者术前胃镜活检病理与外科术后病理诊断对照分析[J].中国实验诊断学,2018,22(9):1541-1542.
[8]叶飞,张开光,张明黎,等.胃食管上皮内瘤变内镜黏膜下剥离术前后病理结果对比研究[J].中国临床保健杂志,2018,21(2):238-241.
[9]郭宏兴,刘发全,高珂,等.胃癌患者术前胃镜活检病理与外科术后病理异同的研究[J].广州医药,2018,49(4):73-75.
[10]钟玉全,张旭,杨丽,等.180例胃癌术前胃镜病理活检结果及误漏诊因素分析[J].西南国防医药,2018,28(7):615-617.
[11]易智君,黄卓雅,冯得财,等.胃癌术前胃镜病理与术后切除组织病理检查异同分析[J].哈尔滨医药,2018,38(3):268-269.
[12]赵伟.胃镜活检病理应用于胃癌临床诊断的效果[J].智慧健康,2018,4(33):15-16.
[2]苏昭然,王贤,束宽山,等.胃镜活检病理为高级别上皮内瘤变的外科精准治疗[J].中国普通外科杂志,2018,27(4):401-407.
[3]史玲,孙晓勤,史玉梅,等.胃癌患者术前胃镜活检病理与外科术后病理诊断结果的差异[J].大医生,2017,2(Z2):216,250.
[4]郝晓雯,孙秀静,李鹏.超声内镜引导下穿刺活检对常规胃镜活检阴性病灶的诊断价值[J].首都医科大学学报,2018,39(5):657-662.
[5]夏润辉.食管黏膜病变患者术前胃镜活检病理与内镜黏膜下剥离术术后病理的异同对比[J].世界最新医学信息文摘,2018,18(83):64,69.
[6]向圆圆,吕农华,陈幼祥,等.胃镜活检在胃黏膜病变内镜黏膜下剥离术治疗中的价值[J].中华临床医师杂志:电子版,2017,11(22):2389-2393.
[7]李航,吴锷,刘盛,等.胃癌患者术前胃镜活检病理与外科术后病理诊断对照分析[J].中国实验诊断学,2018,22(9):1541-1542.
[8]叶飞,张开光,张明黎,等.胃食管上皮内瘤变内镜黏膜下剥离术前后病理结果对比研究[J].中国临床保健杂志,2018,21(2):238-241.
[9]郭宏兴,刘发全,高珂,等.胃癌患者术前胃镜活检病理与外科术后病理异同的研究[J].广州医药,2018,49(4):73-75.
[10]钟玉全,张旭,杨丽,等.180例胃癌术前胃镜病理活检结果及误漏诊因素分析[J].西南国防医药,2018,28(7):615-617.
[11]易智君,黄卓雅,冯得财,等.胃癌术前胃镜病理与术后切除组织病理检查异同分析[J].哈尔滨医药,2018,38(3):268-269.
[12]赵伟.胃镜活检病理应用于胃癌临床诊断的效果[J].智慧健康,2018,4(33):15-16.