论文部分内容阅读
组织学对内镜活检标本作出胃炎的诊断面临一些临床难题。首先,作者认为“慢性胃炎”应有炎性细胞浸润的组织学证据。炎性细胞浸润累及粘膜全层,因此内镜观察粘膜表面不能诊断;需要对内镜活检标本作组织学检查。通常认为单用内镜诊断胃炎不够精确,而新的悉尼胃炎分类法却提出与组织学分类平行的独立的内镜胃炎分类法。其次,临床用“胃炎”名称草率。令人遗憾的是把胃炎作为原因不明的、内镜活检无任何炎症证据的消化不良综合征的临床诊断。即使
Histology of endoscopic biopsy specimens for the diagnosis of gastritis face some clinical problems. First, the authors believe that “chronic gastritis” should have histological evidence of inflammatory cell infiltration. Inflammatory cell infiltration involving the mucosal layer, so the endoscopic mucosal surface can not be diagnosed; the need for endoscopic biopsy specimens for histological examination. Gastritis is usually not considered accurate enough with endoscopy alone, whereas the new Sydney gastritis taxonomy proposes an independent endoscopy gastritis classification parallel to histological classification. Second, the clinical use of “gastritis” name sloppy. It is regrettable that gastritis as an unexplained, endoscopic biopsy without any evidence of inflammation of the clinical diagnosis of dyspepsia. even if