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 75 patients 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, specifcity, 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 signifcant 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.
作者
杨海琼
YANG Haiqiong(Pathology Room,Chongqing CSI hospital,Chongqing 401326,China)
出处
《中国继续医学教育》
2018年第32期67-69,共3页
China Continuing Medical Education
关键词
胃癌
诊断
胃镜
活检
病理
消化内科
gastric cancer
diagnosis
gastroscopy
biopsy
pathology
gastroenterology
