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目的:本文简要论述了慢性萎缩性胃炎应用胃镜下黏膜形态方法进行诊断的临床价值。方法:选择我院自2013年1月-2014年4月期间入院接受疑似慢性萎缩性胃炎患者100例,均采用胃镜下黏膜诊断及病理诊断的方法,对其诊断结果进行回顾性分析。结果:胃镜下黏膜形态诊断的灵敏度96.47%;特异度为76.92%,准确性为92%,误诊率为23.08%,漏诊率为5.75%,阳性预测值为96.47%,阴性预测值为33.33%。结论:胃镜下黏膜形态诊断技术在判断慢性萎缩性胃炎病症时确诊率高,值得临床推广与应用。
OBJECTIVE: This article briefly discusses the clinical value of diagnosis of chronic atrophic gastritis with mucosal morphology under endoscopy. Methods: 100 hospitalized patients with suspected chronic atrophic gastritis admitted to our hospital from January 2013 to April 2014 were enrolled in this study. All the patients underwent gastroscopic diagnosis of mucosa and pathological diagnosis, and their diagnostic results were retrospectively analyzed. Results: The sensitivity of gastroscopic diagnosis of mucosal morphology was 96.47%, specificity was 76.92%, accuracy was 92%, misdiagnosis rate was 23.08%, misdiagnosis rate was 5.75%, positive predictive value was 96.47%, negative predictive value was 33.33%. Conclusion: Gastroscopy diagnosis of mucosal morphology in the diagnosis of chronic atrophic gastritis diagnosis rate is high, worthy of clinical promotion and application.