探讨胃癌患者术前胃镜活检病理与外科术后病理的差异.docVIP

精品论文 参考文献 探讨胃癌患者术前胃镜活检病理与外科术后病理的差异 大庆油田总医院 163000 【摘 要】目的观察胃癌患者手术前胃镜活检的病理结果与手术后病理结果的差异，以供临床参考。方法对2009年9月——2012年8月我院收治的胃癌患者51例为临床研究对象。所有患者均在手术前采用胃镜活检做病理检查，并在手术后再次进行病理检查，观察术前胃镜活检与手术后病理检查的差异。结果手术前胃镜诊断51例患者均为胃癌。病理类型方面：术前胃镜检查与术后病理诊断一致患者25例，Plt;0.05，差异有统计学意义；分化程度方面，术前胃镜检查与手术后病理诊断一致40例，Plt;0.05，差异有统计学意义。结论胃镜活检能够对胃癌患者进行有效的诊断，但是对胃癌病理分型和分化程度的判断效果不佳，手术后病理诊断是临床诊断胃癌的最佳手段。 【关键词】胃癌；病理；胃镜活检；术后病理 [Abstract] Objective To observe the pathological results of gastric cancer patients before and after operation，and the difference between the pathological findings and postoperative pathological results，so as to provide reference for clinical treatment.Methods 51 cases of gastric cancer treated in our hospital from September 2009 to August 2012 were studied.All patients were examined by gastroscopy biopsy before operation，and after the operation，the pathological examination was performed again，and the difference between the preoperative gastroscopy biopsy and postoperative pathological examination was observed.Results 51 cases of gastric cancer were diagnosed by gastroscopy before operation.Pathological types： preoperative gastroscopy and pathological diagnosis of 25 cases，with Plt;0.05，the difference was statistically significant; the degree of differentiation，preoperative gastroscopy and pathological diagnosis after surgery 40 cases，Plt;0.05，the difference was statistically significant.Conclusion： endoscopic biopsy can be effective in the diagnosis of gastric cancer patients，but it is not good to determine the degree of pathological differentiation and differentiation of gastric cancer.Postoperative pathological diagnosis is the best means of clinical diagnosis of gastric cancer. [Key words] gastric carcinoma; Pathology; gastroscopy biopsy; postoperative pathology 胃癌是世界第四高发癌症，其中有4/5的患者在确诊时已经处于进展期，且患者预后差，死亡率较高。而进展期胃癌的5年生存率较低，仅为20%左右[1]。因此，提高胃癌的早期诊断率是临床研究的关键内容，但是由于胃癌患者的早期临床症状多不典型，会加大早期胃癌检出的难度。本文研究分析胃癌患者手术前胃镜活检的病理结果与手术后病理结果的差异，以供临床参考，报告如下：