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目的:探讨胃镜下活体组织检查在胃癌诊断中的临床价值。方法:选取我院2013年1月-2016年10月就诊的胃癌患者14例,均经手术病理检查及胃镜下活体组织检查,对其诊断准确率进行统计。结果:以手术病理检查为标准,胃镜下活体组织检查标本组织中共检出11例,确诊8例,确诊率72.73%,疑诊3例,疑似诊断率为27.27%,未确诊3例,未确诊率为27.27%;胃镜下活体组织检查与手术病理检查在BorrmanmⅡ、Ⅲ、Ⅳ型及分化程度方面比较差异有统计学意义(P<0.05)。结论:在胃癌诊断中,采取胃镜下活体组织检查的诊断准确率较高,同时辅以手术病理检查确诊,准确评估胃癌患者病情,可为临床疾病治疗及指导提供可靠依据。
Objective: To investigate the clinical value of biopsy under endoscopy in the diagnosis of gastric cancer. Methods: Fourteen patients with gastric cancer were selected from January 2013 to October 2016 in our hospital. All patients underwent gastroscopic biopsy and biopsy, and their diagnostic accuracy was calculated. Results: According to the pathological examination, 11 cases were diagnosed by biopsy under endoscopy, 8 cases were diagnosed, the diagnosis rate was 72.73%, the suspicious diagnosis was 3 cases, the suspicious diagnosis rate was 27.27%, the undiagnosed diagnosis was 3 cases, the unconfirmed Rate was 27.27%. There was significant difference between Borrmanm Ⅱ, Ⅲ, Ⅳ type and differentiation degree in biopsy and pathological examination under endoscopy (P <0.05). Conclusion: In the diagnosis of gastric cancer, the diagnostic accuracy of biopsy under endoscopy is high, and confirmed by surgery and pathology, accurate assessment of the condition of patients with gastric cancer can provide a reliable basis for the treatment and guidance of clinical diseases.