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首页> 中文期刊> 《浙江临床医学》 >胃黏膜平坦型病变的胃镜及病理表现分析

胃黏膜平坦型病变的胃镜及病理表现分析

         
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目的 探讨胃黏膜平坦型病变患者的胃镜及病理表现.方法 回顾性分析2015年1月至2016年12月138例胃黏膜平坦型病变患者的临床资料,比较胃镜及病理诊断结果的一致性.结果 138例胃黏膜平坦型病变患者经病理证实,炎性反应65例,低级别上皮内瘤变(LGIN)37例,早期胃癌25例,进展期胃癌11例.病变位于胃窦大于其他部位(P<0.05);胃镜与病理诊断的一致率91.30%,Kappa值为0.883(P<0.05),一致性较好.NBI-ME胃镜对炎性反应、LGIN、早期胃癌和进展期胃癌的诊断符合率分别为96.92%、91.89%、88.00%、81.81%;NBI-ME胃镜对平坦型病变早期胃癌诊断的敏感度、特异度和准确率分别是81.48%、97.29%、94.20%.结论 NBI-ME对胃黏膜平坦型病变中早期胃癌具有较高的诊断价值,值得临床推广应用.%Objective To?discuss?the?pathological?performance?of?gastroscopy?in?patients?with?flat?gastric?mucosa?lesion.?Methods? 138?patients?with?flat?gastric?mucosa?lesion?from?Jan?2015?to?Dec?2016?in?our?hospital?were?retrospectively?analyzed.?The?consistency?of?gastroscopy?and?pathologic?diagnosis?were?compared.?Results Of?138?patients?with?flat?gastric?mucosa?lesion,65?cases?of?inflammatory?reaction,25?cases?of?early?gastric?cancer, 37?cases?of?low?grade?intraepithelial?neoplasia,11?cases?of?advanced?gastric?cancer?were?found.?The?proportion?of?lesions?in?the?gastric?antrum?was?significantly?higher?than?that?in?other?parts.?The?consistent?rate?of?gastroscopy?and?pathological?diagnosis?was?91.30%.?The?diagnostic?coincidence?rates?of?NBI-ME?gastroscopy?in?inflammatory?response,LGIN,early?gastric?cancer?and?advanced?gastric?cancer?were?96.92%(63/65),91.89%(34/37), 88.00%(22/25)and?81.81%(9/11).?The?sensitivity,specificity,and?accuracy?of?NBI-ME?gastroscopy?in?early?gastric?cancer?diagnosis?were?81.48% (22/27),97.29%(108/111)and?94.20%(130/138).?Conclusion? NBI-ME?has?high?diagnostic?value?for?early?gastric?cancer?in?flat?lesions?mucosa?lesion?and?is?worthy?of?clinical?application.

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