| 唐伟国 武庆斌 顾红英 金忠芹 黄勇.小儿慢性胃炎内镜表现与胃黏膜病理组织学改变的相关性分析[J].,2015,15(36):7114-7116 |
| 小儿慢性胃炎内镜表现与胃黏膜病理组织学改变的相关性分析 |
| Correlation Analysis between Endoscopic Findings and Pathological Changesof Gastric Mucosa in Children with Chronic Gastritis |
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| DOI： |
| 中文关键词: 胃炎 胃镜检查 病理学 |
| 英文关键词: Gastritis Gastroscopy Pathology |
| 基金项目: |
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| 中文摘要: |
| 目的：分析小儿慢性胃炎患儿内镜检查与病理组织学改变的相关性。方法：研究对象为本院自2010 年3 月至2013 年3 月收
治的186 例慢性胃炎儿童，均接受胃镜和病理学两种方式诊断，评价并分析镜下表现与病理学相关性。结果：经胃镜诊断结果为
178 例慢性浅表性胃炎（CSG），8 例慢性萎缩性胃炎（CAG）。病理学诊断结果为170 例CSG，10 例CAG，6 例胃黏膜无损害。胃镜
与病理学诊断CSG 的准确度为90.32%，胃镜与病理学诊断CAG的准确度为93.54%。对CSG的阳性预测值中，红白间隔、红色
居多及充血水肿占92.42%和92.96%。病理组织学性的溃烂、活动性炎症、肠上皮化生与胃镜下各种表现的关系均不够密切。胃镜
与病理学诊断CSG和CAG 的灵敏度分别为97.06%和30.00%，差异具有显著性（P＜0.05）。结论：儿童CSG镜下主要形态对病理
诊断CSG 的灵敏性好且有相关性，而胃镜诊断CAG 对病理诊断CAG的灵敏性差。 |
| 英文摘要: |
| Objective:To analyze the correlation between endoscopic findings and pathological changes of gastric mucosa in
children with chronic gastritis.Methods:A total of 186 children with chronic gastritis, who were admitted to Children Affiliated Hospital
of Suzhou University from March 2010 to March 2013, were chosen as subjects and diagnosed with endoscopy and pathology. The
correlation between endoscopic findings and pathology was evaluated and analyzed.Results:The endoscopic diagnosis results showed
that 178 children had chronic superficial gastritis (CSG) and 8 children had chronic atrophic gastritis (CAG). The pathological diagnosis
results showed that 170 children had CSG, 10 children had CAG and 6 children didn't have gastr children had CAG and CSG were
97.06%and 30%respectively, the differences were significant (P<0.05).Conclusion:The main findings of endoscopy for CSG has high
sensitivity and is correlated to the diagnosis of pathology for CSG in children, while the diagnosis of endoscopic for CAG has low
sensitivity to the diagnosis of pathology for CAG. |
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