内镜在慢性萎缩性胃炎诊断中的应用价值

摘要

Objective To explore the application value of endoscopy in the diagnosis of chronic atrophic gastritis and chronic at-rophic gastritis associated with Helicobacter pylori. Methods A retrospective analysis of 60 patients with chronic atrophic gastritis from February 2011 to September 2014, including 28 cases of simple chronic atrophic gastritis, chronic atrophic gastritis with hy-perplasia 32 cases, were performed endoscopic diagnosis and pathological diagnosis rate is consistent with the analysis, comparison of endoscopic diagnosis and pathological diagnosis, and H. pylori in chronic atrophic gastritis patients with different pathological types and comparison of different shrinking infection positive rate. Results Endoscopic diagnosis of simple chronic atrophic gastri-tis with the rate of 71.4%, the diagnosis of chronic atrophic gastritis with proliferation rate was as high as 96.9%, endoscopic diag-nosis of chronic atrophic gastritis with proliferation rate was significantly higher than that of atrophic gastritis, the difference was statistically significant (P<0.05).Endoscopic diagnosis of chronic atrophic gastritis with hyperplasia of the coincidence rate with pathological diagnosis of the differences are slight, no statistical significance (P>0.05), chronic atrophic gastritis with hyperplasia of the infection rate of HP significantly higher than that of simple chronic atrophic gastritis, the difference was statistically significant (P<0.05), atrophy severity, the infection rate of HP is higher, with statistically significant difference(P<0.01). Conclusion The study shows, endoscopic diagnosis of chronic atrophic gastritis with hyperplasia coincidence rate is high, clinical endoscopy can be used as auxiliary diagnostic means of chronic atrophic gastritis is important, and the infection rate of HP increased with the aggravation of atrophy.%目的：探究内镜在慢性萎缩性胃炎诊断中的应用价值以及慢性萎缩性胃炎。方法回顾性分析2011年2月—2014年9月份入该院就诊的慢性萎缩性胃炎患者60例,其中单纯性慢性萎缩性胃炎28例,慢性萎缩性胃炎伴增生32例,均分别进行内镜诊断和病理诊断,分析比较内镜诊断与病理诊断符合率情况,以及比较不同病理类型和不同萎缩程度的慢性萎缩性胃炎患者的幽门螺旋杆菌感染阳性率。结果内镜对单纯性慢性萎缩性胃炎的诊断符合率为71.4%,对慢性萎缩性胃炎伴增生的诊断率较高为96.9%,内镜诊断慢性萎缩性胃炎伴增生符合率明显高于单纯性萎缩性胃炎,差异具有统计学意义(P<0.05)；慢性萎缩性胃炎伴增生患者的HP感染阳性率明显高于单纯性慢性萎缩性胃炎,差异有统计学意义(P<0.01)；萎缩程度重者,HP感染阳性率较高,差异具有统计学意义(P<0.01)。结论研究可知,内镜诊断慢性萎缩性胃炎伴增生符合率较高,临床上内镜检查可作为慢性萎缩性胃炎重要的辅助诊断手段,且HP感染阳性率随着萎缩程度的加重而增高。