【摘要】 目的:探讨慢性萎缩性胃炎(chronic atrophic gastritis,CAG)内镜检查与临床病理诊断的相关性。方法:选取2014年1月至2015年4月因消化道症状而在我院行胃镜及病理检查患者220例,比较胃镜检查与病理组织学检查结果。结果:220例患者中,经胃镜诊断为CAG患者65例,非萎缩性胃炎(NAG)患者155例;经病理诊断为CAG患者63例,NAG患者157例。胃镜与病理诊断的符合率为88.18%,胃镜及病理诊断一致性检验K=0.714,P<0.05;胃镜下呈红白相间或以白为主和黏膜粗糙不平以及颗粒样增生表现病理诊断确诊为CAG符合率分别为85.71%和96.30%,差异比较无统计学意义(P>0.05);胃镜下呈胃窦部黏膜减少、血管呈现透见性型表现病理诊断确诊为CAG符合率为41.18%,明显低于其他胃镜表现,差异比较有统计学意义(P<0.05);胃镜下呈黏膜粗糙不平以及颗粒样增生表现HP阳性感染率为88.89%,明显高于其他胃镜表现,差异比较有统计学意义(P<0.05)。结论:内镜诊断慢性萎缩性胃炎与病理组织学结果一致性较好,但仍存在差异,临床诊断必须结合病理学检查。更多还原

【Abstract】 Objective: To investigate chronic atrophic gastritis(CAG) endoscopy and clinical pathological diagnosis correlation. Methods: Selected 220 cases patients from January 2014 to April 2015 due to gastrointestinal symptoms underwent endoscopy and pathological examination in our hospital, compared endoscopy and histological findings. Results: In the 220 patients, 65 patients with CAG were diagnosed by gastroscopy, and 155 patients with NAG; the pathological diagnosis was CAG in 63 patients and 157 patients with NAG. The coincidence rate of gastroscopy and pathological diagnosis was 88.18%, and gastroscopy and pathology diagnosis consistency check K=0.714, P<0.05; endoscopic were mainly red and white or white and mucosal rough and granular hyperplasia performance pathologic diagnosis confirmed CAG coincidence rate were 85.71% and 96.30%, the difference was not statistically significant(P>0.05); endoscopic antral mucosa was decreased, vascular permeability type presentation pathologic diagnosis as CAG comply with 41.18%, significantly lower than other endoscopic features, the difference was statistically significant(P<0.05); endoscopic mucosa rough and granular hyperplasia type HP positive rate was 88.89%, significantly higher than other endoscopic features, the difference was statistically significant(P<0.05). Conclusion: Endoscopic diagnosis of chronic atrophic gastritis and histological results are in good agreement, but there are still differences, the clinical diagnosis must be combined with pathological examination.更多还原