目的：探讨分析胃癌患者术前胃镜活检病理与外科术后病理的差异。方法选择我院接收的49例胃癌患者作为观察对象,接受手术之前均使用胃镜活检进行病理检查并在手术后再次进行病理检查，比较手术前的胃镜活检病理检查结果和手术后病理检查结果的差异性。结果在手术前通过胃镜诊断的49例均为胃癌患者。但是两种检查方式对胃癌的病理类型和分化程度的诊断有明显差异，P ＜0.05，有统计学意义。结论胃癌患者手术前采取胃镜活检病理检查能够提高临床诊断的准确性，但由于其取材的限制性，临床治疗中仍然需要以外科术后病理检查结果为主要依据。%Objective To explore and analyze the difference of preoperative endoscopic biopsy pathology and postoperative surgical pathology on patients with gastric cancer. Method Selected 49 patients with gastric cancer in our hospital as observation objectives. All of them were given pathological examination by endoscopic biopsy before surgery and a second pathological examination again after the surgery, and then the different results of preoperative pathological examination and postoperative examination would be compared. Result All of the 49 patients were diagnosed as gastric cancer by preoperative gastroscopy, but these two examination methods had obvious difference in diagnosing gastric cancer regarding pathological type and differentiation, P<0.05. Conclusion The preoperative endoscopic biopsy pathological examination can improve the accuracy of clinical diagnosis but postoperative surgical pathological examination should be the main basis during the clinical treatment for the limitations of preoperative examination by gastroscopy.
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