胃鏡下活檢病理診斷高級別上皮內瘤變的價值及安全性分析

鄧天朝

【摘?要】目的：探討胃鏡下活檢病理診斷高級別上皮內瘤變的價值。方法：回顧性分析2017年9月至2019年3月在我機構進行檢查的30例高級別上皮內瘤變樣本，分析樣本的病變特征，并和高級別上皮內瘤變樣本對應患者術后病理分析結構進行比較。結果：30例高級別上皮內瘤變樣本，胃鏡下病變食管上端病變5例，食管中段病變18例，食管下段病變3例，局部黏膜糜爛、微隆、粗糙24例。胃鏡下隆起性、環周病灶6例，高級別上皮內瘤變27例，浸潤癌3例。結論：胃鏡活檢病理診斷高級別上皮內瘤變的價值明顯，對于臨床治療有著極其重要的指導意義，該檢測方法值得重視，且檢測人員需注意檢測方法的規范性、全面性。

【關鍵詞】高級別上皮內瘤變;胃鏡活檢;臨床診斷;病理研究

【中圖分類號】R735.2???【文獻標識碼】A????【文章編號】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.