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随着胃镜检查的普及,检查适应症的放宽,以及内镜医师经验的积累,目前对于慢性胃炎中最常见的慢性浅表性胃炎(chronic superficial gastritis CSG)和慢性萎缩性胃炎(Chronic atrophic gastritis CAG),许多医疗单位已不强调每一例患者均进行活体病理学检查而直接依赖胃镜下判断。但对胃镜下判断的“萎缩”或“浅表”尚有疑问。本文通过与病理学检查的对比,评价胃镜下判断慢性胃炎“萎缩”的可靠性。 1 病例与方法 1.1 病例选择:1997年9月～12月份在本院胃镜诊断为CAG或CSG的连续患者400例。使用纤维胃镜检查200例,男105例,女95例;年龄46.43±11.56岁。使用电子胃镜200例,男90例,女110例;年龄47.12±12.15岁。 1.2 方法:用OLympus XQ 20型纤维胃镜和Olympus XQ 230型电子胃镜检查。检查者均为本院主治
With the popularity of gastroscopy, to check the relaxation of indications, and the accumulation of endoscopic experience, the current chronic gastritis in the most common chronic superficial gastritis (chronic superficial gastritis CSG) and chronic atrophic gastritis (CAG ), Many medical units have failed to emphasize that each patient undergoes biopsy and directly relies on endoscopy. However, the judge under the gastroscopy “shrunken” or “superficial” still in doubt. This article by pathological examination compared to evaluate the reliability of endoscopy to determine the “atrophy” of chronic gastritis. 1 cases and methods 1.1 Case Selection: September 1997 to December in our hospital 400 cases of consecutive patients diagnosed as CAG or CSG gastroscopy. The use of fiber endoscopy in 200 cases, 105 males and 95 females; aged 46.43 ± 11.56 years. The use of electronic gastroscope 200 cases, 90 males and 110 females; aged 47.12 ± 12.15 years. 1.2 Methods: OLympus XQ 20 fiber endoscopy and Olympus XQ 230 electronic gastroscopy. The examiner is hospitalized