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目的 :探讨慢性胃炎患者内镜检查表现与组织病理实验结果的相关性。方法 :选取本院2012年8月~2014年8月收治的179例慢性胃炎患者,所有病例均接受内镜检查与病理组织实验,尔后分别通过内镜表现特征与病理检查结果的总结和比较,分析两种诊断方式的相关性。结果 :内镜表现与病理诊断中慢性非萎缩性胃炎的符合率为68.3%(69/101),慢性萎缩性胃炎的符合率为73.1%(57/78),合计总符合率为70.4%(126/179)。慢性非萎缩性胃炎与慢性萎缩性胃炎患者的内镜及病理表现均存在显著差异,具有统计学意义。结论 :慢性胃炎患者的内镜表现与组织病理改变的临床符合率略低,但伴随内镜技术的不断发展,可为慢性胃炎患者临床检查提供有利条件。
Objective: To investigate the correlation between endoscopic findings and histopathological findings in patients with chronic gastritis. Methods: A total of 179 patients with chronic gastritis admitted from August 2012 to August 2014 in our hospital were enrolled in this study. All patients underwent endoscopy and pathological examination. Afterwards, the endoscopic features and pathological findings were summarized and compared. Analysis of the correlation between the two diagnostic methods. Results: The coincidence rate of endoscopic findings and pathologic diagnosis of chronic non-atrophic gastritis was 68.3% (69/101), that of chronic atrophic gastritis was 73.1% (57/78), the total coincidence rate was 70.4% 126/179). Chronic non-atrophic gastritis and chronic atrophic gastritis in patients with endoscopic and pathological findings were significantly different, with statistical significance. Conclusion: The clinical coincidence rate of endoscopic and histopathological changes in patients with chronic gastritis is slightly lower. However, with the continuous development of endoscopic techniques, it may provide favorable conditions for clinical examination of patients with chronic gastritis.