【摘要】 目的:探讨萎缩性胃炎的相关因素及内镜对萎缩性胃炎的诊断准确率。方法:收集2010年1月到2015年1月收治的85例萎缩性胃炎患者的临床诊断资料,选择同期146例非萎缩性胃炎患者的资料,分析萎缩性胃炎的临床相关因素;比较萎缩性胃炎经内镜诊断的准确率。结果:通过分析,萎缩性胃炎的相关风险因素有年龄、饮酒史、吸烟史、胃病史、腹痛史、十二指肠病史等(P<0.05);不同部位的萎缩性胃炎的严重程度有差异(P<0.05);通过与病理诊断结果比较,胃窦部萎缩性胃炎应用胃镜检查的诊断符合率最高,胃窦合并胃体部萎缩性胃炎次之、胃体部最低,三者的诊断符合率分别是89.5%、79.2%、46.7%。结论:萎缩性胃炎相关临床因素较多,发病的主要部位是胃窦部,胃镜诊断符合率较低,应该在胃镜检查基础上做好病理活检。更多还原

【Abstract】 Objective: To investigate the relevant factors of atrophic gastritis and the efficacy of endoscopic and pathological diagnosis of the disease. Methods: The clinical and diagnostic data of 85 patients with atrophic gastritis were collected from January 2010 to January 2015,and the data of 146 patients with non-atrophic gastritis in the same period were analyzed,so as to find the clinical relevant factors of atrophic gastritis and the accuracy rate of endoscopic and pathological diagnosis. Results: The related risk factors of atrophic gastritis included age,smoking,drinking,stomach diseases,abdominal pain,and duodenum( P < 0. 05); there were differences in severity in different parts of atrophic gastritis( P < 0.05); compared with the results of pathological diagnosis,endoscopic diagnosis of the disease showed the highest accuracy rate in gastric antrum atrophy,the second in gastric antrum combined with gastric body and the lowest in gastric body. The accuracy rates were 89. 5 %,46. 7 % and 79.2 % respectively. Conclusion: There are many clinical factors of atrophic gastritis,and gastric antrum is the pathogenesis part. Endoscopic diagnosis shows low accuracy rate,thus pathological biopsy should be done on the basis of endoscopic diagnosis.更多还原