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目的:了解胃癌病人进行术前胃镜活检、术后病理诊断的价值。方法:抽选37例因患胃癌而于2011年12月-2016年12月间入院的病人,术前予以展开胃镜活检,同时术后展开病理检查,并对两次检查结果展开比对。结果:37例病人接受术前活检后,发现6例(16.22%)胃乳头状腺癌病人,术后病理发现1例(2.70%),(P<0.05);且两次检查在胃印戒细胞癌病人、胃粘液腺癌病人以及胃低分化腺癌病人中的检出率比对,(P<0.05)。同时,术前活检发现24例(64.86%)病人胃癌分化,而术后病理发现32例(86.49%),(P<0.05)。结论:当胃癌病人专业诊断时,展开术前胃镜活检技术可对机体疾病早期判断,然而在疾病分化情况、疾病分型等方面的精准性还有待于提升。
Objective: To understand the value of preoperative gastroscopic biopsy and postoperative pathological diagnosis in patients with gastric cancer. Methods: Thirty-seven patients admitted to our hospital from December 2011 to December 2016 due to gastric cancer were enrolled. Gastroscopy biopsy was performed preoperatively. Pathological examination was performed after operation and the results of two examinations were compared. Results: Sixteen patients (16.22%) with papillary adenocarcinoma were found in 37 patients undergoing preoperative biopsy. Pathological findings were found in 1 patient (2.70%) (P <0.05) Cell carcinoma patients, gastric mucinous adenocarcinoma patients and gastric poorly differentiated adenocarcinoma patients in the detection rate comparison (P <0.05). At the same time, 24 cases (64.86%) had gastric cancer differentiation in preoperative biopsy, while 32 cases (86.49%) were found pathologically after operation (P <0.05). CONCLUSIONS: When gastroschisis is diagnosed professionally, preoperative gastroscopic biopsy can be used to judge the early stage of the disease. However, the accuracy of disease differentiation and disease classification needs to be improved.