| 胃镜检查对早期胃癌的诊断价值分析 |
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| 引用本文： | 王丹,张丽莉.胃镜检查对早期胃癌的诊断价值分析[J].癌症进展,2019,17(8):945-947,961. |
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| 作者姓名： | 王丹 张丽莉 |
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| 作者单位： | 湖北医药学院附属东风医院消化内科,湖北 十堰,442016;十堰市太和医院(湖北医药学院附属医院)儿科,湖北 十堰,4420000 |
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| 摘 要： | 目的研究胃癌在胃镜下的形态及胃镜对胃癌的诊断价值,分析胃镜漏诊早期胃癌的影响因素。方法将首发确诊胃癌的561例患者和漏诊的39例患者(共600例),分别作为确诊组和漏诊组,确诊组中早期胃癌52例,作为早期胃癌组。比较确诊组和漏诊组患者首次胃镜检查时的镜下形态,早期胃癌患者胃镜检查漏诊的影响因素采用Logistics回归分析。结果确诊组胃癌患者镜下形态以溃疡、黏膜萎缩、出血和胃潴留为主,其中直径≥2 cm的溃疡、出血及胃潴留率高于漏诊组,差异均有统计学意义(P<0.05)。漏诊组患者镜下形态以充血水肿、点状糜烂、片状糜烂及溃疡直径<2 cm的溃疡为主,其中充血水肿、点状糜烂和片状糜烂率明显高于确诊组患者,差异均有统计学意义(P<0.01)。多因素Logistic回归分析结果显示,年龄<60岁、需要倒镜观察、无报警症状和病理分型为Ⅱb型是胃镜检查漏诊早期胃癌的独立危险因素。结论胃镜对早期胃癌的诊断价值较高,但对于年龄<60岁、需倒镜观察、无报警症状和病理分型为Ⅱb型病灶应仔细观察,尽可能避免漏诊。
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| 关 键 词： | 胃镜 胃癌 诊断价值 漏诊因素 |
Analysis of the value of gastroscopy in the diagnosis of early gastric carcinoma |
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| WANG Dan,ZHANG Lili.Analysis of the value of gastroscopy in the diagnosis of early gastric carcinoma[J].Oncology Progress,2019,17(8):945-947,961. |
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| Authors: | WANG Dan ZHANG Lili |
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| Institution: | (Department of Gastroenterology, the Affiliated Dongfeng Hospital, Hubei University of Medicine, Shiyan 442016, Hubei, China;Department of Pediatrics, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei, China) |
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| Abstract: | WANG Dan;ZHANG Lili(Department of Gastroenterology, the Affiliated Dongfeng Hospital, Hubei University of Medicine, Shiyan 442016, Hubei, China;Department of Pediatrics, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei, China) |
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| Keywords: | gastroscopy gastric carcinoma diagnostic value factor of missed diagnosis |
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