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目的客观评估胃癌患者使用内窥镜做活检当作主要手段。方法诊断50例胃癌患者与手术的病理结果比较分析。结果胃镜活检对胃癌的确诊率为80.00%。胃镜活检根据BorrmannⅠ的胃癌诊断:诊断率100%;BorrmannⅡ诊断率71。43%。Bor-rmannⅢ诊断率66.67%,BorrmannⅣ型病变胃镜活检确诊率最低。结果表明胃镜活检对分化型肿瘤的组织学分化程度确诊率最高,确诊率为89.47%。胃镜活检对腺癌的术前检出率最高,确诊率为85.71%。结论胃镜活检对胃癌的诊断是重要的。但胃镜检查做活检的组织确定的程度只是做为参考,实际情况应依据的外科手术切除为准。
Objective Objective assessment of gastric cancer patients using endoscopy biopsy as the main means. Methods Diagnosis of 50 cases of gastric cancer patients with surgery compared the results of the pathology. Results The diagnosis of gastric cancer by gastroscope biopsy was 80.00%. Gastroscopy according to Borrmann Ⅰ gastric cancer diagnosis: diagnosis rate of 100%; Borrmann Ⅱ diagnostic rate of 71.43%. The diagnostic rate of Bor-rmann Ⅲ was 66.67%. The diagnosis rate of Borrmann type Ⅳ gastroscopy was the lowest. The results showed that gastroscope biopsy of differentiated tumor histological differentiation of the highest rate of diagnosis, the diagnosis rate was 89.47%. Gastroscopy biopsy of adenocarcinoma preoperative detection rate was the highest, the diagnosis rate was 85.71%. Conclusion Gastroscopy biopsy is important for the diagnosis of gastric cancer. However, the endoscopic diagnosis of biopsy tissue to determine the extent only as a reference, the actual situation should be based on the surgical exclusion shall prevail.