| 标题 | 胃镜下活检病理诊断高级别上皮内瘤变的价值及安全性分析 |
| 范文 | 邓天朝 【摘?要】目的：探討胃镜下活检病理诊断高级别上皮内瘤变的价值。方法：回顾性分析2017年9月至2019年3月在我机构进行检查的30例高级别上皮内瘤变样本，分析样本的病变特征，并和高级别上皮内瘤变样本对应患者术后病理分析结构进行比较。结果：30例高级别上皮内瘤变样本，胃镜下病变食管上端病变5例，食管中段病变18例，食管下段病变3例，局部黏膜糜烂、微隆、粗糙24例。胃镜下隆起性、环周病灶6例，高级别上皮内瘤变27例，浸润癌3例。结论：胃镜活检病理诊断高级别上皮内瘤变的价值明显，对于临床治疗有着极其重要的指导意义，该检测方法值得重视，且检测人员需注意检测方法的规范性、全面性。 【关键词】高级别上皮内瘤变;胃镜活检;临床诊断;病理研究 【中图分类号】R735.2???【文献标识码】A????【文章编号】1672-3783（2020）02-0095-01 Value?and?safety?of?pathological?diagnosis?of?intraepithelial?neoplasia?by?gastroscopy. 【Abstract】Objective：?to?evaluate?the?value?of?gastroscopy?in?the?pathological?diagnosis?of?high?grade?intraepithelial?tumors.?Methods：?from?September?2017?to?Maych?2019，?30?samples?of?high-grade?intraepithelial?neoplastic?lesions?were?analyzed?retrospectively.?the?pathological?features?of?the?samples?were?analyzed?and?compared?with?the?postoperative?pathological?analysis?structure?of?the?high-grade?intraepithelial?neoplastic?samples.?Results：?there?were?30?cases?of?high?grade?intraepithelial?neoplastic?lesions，?5?cases?of?upper?esophageal?lesions，?18?cases?of?middle?esophageal?lesions，?3?cases?of?lower?esophageal?lesions，?24?cases?of?local?mucosal?erosion，?microbulging?and?rough.?Gastroscopy?protruding，?circumferential?lesions?in?6?cases，?high?grade?There?were?27?cases?of?intraepithelial?tumor?and?3?cases?of?invasive?carcinoma.?Conclusion：?gastroscopy?is?of?great?value?in?the?pathological?diagnosis?of?high?grade?intraepithelial?tumors，?which?is?of?great?significance?for?clinical?treatment.?This?detection?method?is?worth?paying?attention?to，?and?the?examiners?should?pay?attention?to?the?standardization?and?comprehensiveness?of?the?detection?methods. |
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