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目的比较胃镜检查和黏膜病理检查以确诊慢性萎缩性胃炎的准确性。方法将197例慢性萎缩性胃炎患者分为观察组99例和对照组98例。对照组患者给予黏膜病理检查,观察组患者给予胃镜检查,比较2组患者的胃镜检查和病理检查的相关性。结果观察组对慢性萎缩性胃炎的诊断率为90.90%高于对照组的76.53%,差异有统计学意义(P<0.05)。结论对慢性萎缩性胃炎进行胃镜检查较黏膜病理活检的诊断率较高,且使用范围较广,能够适用于不适宜或者不能接受活检的患者,值得临床推广应用。
Objective To compare the accuracy of gastroscopy and mucosal pathology in diagnosing chronic atrophic gastritis. Methods A total of 197 patients with chronic atrophic gastritis were divided into observation group (n = 99) and control group (n = 98). Patients in the control group were given mucosal pathology, and patients in the observation group were given gastroscopy. The correlation between gastroscopy and pathological examination was compared between the two groups. Results The diagnosis rate of chronic atrophic gastritis in observation group was 90.90%, which was significantly higher than 76.53% in control group (P <0.05). Conclusion The diagnosis of chronic atrophic gastritis gastroscopy biopsy more than the high diagnostic rate, and the use of a wide range of patients can not be suitable or unsuitable for biopsy, worthy of clinical application.