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目的探讨慢性胃炎患者内镜表现与病理检查结果的相关性。方法选取2013年1月至2014年2月沈阳市红十字会医院收治的120例慢性胃炎患者作为研究对象,所有患者均给予电子内镜检查及病理组织学检查。统计患者内镜检查结果与病理组织学检查结果,比较慢性非萎缩性胃炎与慢性萎缩性胃炎患者内镜检查结果、病理学检查结果及者幽门螺旋杆菌感染情况。结果慢性萎缩性胃炎内镜检查与病理学检查诊断结果符合率为84.6%(44/52),慢性非萎缩性胃炎为88.2%(60/68),整体检查结果诊断符合率为86.7%(104/120);内镜检查结果显示,慢性萎缩性胃炎胃黏膜表现为红白相间且以白为主、血管清晰,呈花斑状改变;慢性非萎缩性胃炎胃黏膜出现明显红斑症状、呈红白相间且以红为主,伴有疱疹、糜烂及出血症状;病理学检查结果显示,慢性萎缩性胃炎与非萎缩性胃炎胃黏膜均存在炎性症状,其中慢性萎缩性胃炎患者胃黏膜出现萎缩、糜烂的发生率明显高于慢性非萎缩性胃炎,肠化生的发生率明显低于慢性非萎缩性胃炎,差异均有统计学意义(均P<0.05)。结论慢性胃炎内镜表现与其病理组织学检查结果存在一定差异,但两种检查方法均能够清晰辨别慢性萎缩性胃炎及非萎缩性胃炎,医师应结合电子内镜检查结果以及病理组织学检查结果,才能更加准确地判定患者病情发展程度。
Objective To investigate the correlation between endoscopic findings and pathological findings in patients with chronic gastritis. Methods A total of 120 patients with chronic gastritis admitted from Shenyang Red Cross Hospital from January 2013 to February 2014 were enrolled in this study. All the patients were given electronic endoscopy and histopathological examination. The results of endoscopy and histopathological examination were compared between the patients with chronic non-atrophic gastritis and chronic atrophic gastritis, the results of pathological examination and H. pylori infection. Results The coincidence rate of endoscopic examination and pathological diagnosis of chronic atrophic gastritis was 84.6% (44/52), chronic non-atrophic gastritis was 88.2% (60/68), and the overall diagnostic accuracy was 86.7% (104 / 120). The results of endoscopy showed that the gastric mucosa of chronic atrophic gastritis showed red and white and white mainly, the blood vessels were clear and the appearance of flower spot changed. The gastric mucosa of chronic non-atrophic gastritis showed obvious erythema, showing red and white White and red, accompanied by herpes, erosion and bleeding symptoms; pathological examination showed that chronic atrophic gastritis and non-atrophic gastritis gastric mucosa there are inflammatory symptoms, including chronic atrophic gastritis in patients with gastric mucosa atrophy, The incidence of erosions was significantly higher than that of chronic non-atrophic gastritis. The incidence of intestinal metaplasia was significantly lower than that of chronic non-atrophic gastritis (all P <0.05). Conclusion There are some differences between endoscopy and histopathological examination of chronic gastritis. However, the two methods can clearly identify chronic atrophic gastritis and non-atrophic gastritis. Physicians should combine the results of endoscopy and histopathological examination, In order to more accurately determine the extent of the patient’s condition.