Analysis of correlation between gastroscopic manifestations and pathological diagnosis of chronic atrophic gastritis / 中国基层医药

ABSTRACT

Objective To investigate the correlation of endoscopic and pathological diagnosis of chronic atrophic gastritis( CAG) . Methods 108 patients diagnosed as CAG by gastroscopy were selected. Whether the results were consistent with the diagnosis between gastroscope and pathology were observed, and the diagnosis relationship between gastroscopic and histopathological features,and the relationship between CAG and Hp were observed,and the coincidence rates of the diagnostic results by using these two methods were calculated. Results 19 cases of chronic superficial gastritis( CSG) and 89 cases of CAG were diagnosed by pathologic biopsy,and 42 cases of CAG with intes-tinal metaplasia,13 cases with dysplasia. The coincidence rate of CAG between gastroscopic and pathological diagnosis was 82. 41%. 9 cases showed the gastric mucosa in rough and showed granular or nodular changes,meanwhile,7 cases of them with CAG were confirmed by histopathology , following 3 cases of them with intestinal metaplasia ( 33 . 33% ) and 1 case of them with heterosexual hyperplasia(11. 11%). 18 cases showed the change of the color of the gastric mucosa with red and white,and mainly in white,following vascular exposure tested by gastroscope. 13 cases of them (72. 22%) with CAG were confirmed by histopathology,4 cases of them with intestinal metaplasia(22. 22%) and 1 case of them with heterosexual hyperplasia(5. 56%). 14 cases showed gastric mucosal folds flat,thinning or even disappear tested by gastroscope. 10 cases of them(71. 43%) with CAG were confirmed by histopathology,following 4 cases of them with intestinal metaplasia(28. 57%) and 2 cases of them with heterosexual hyperplasia(14. 29%). When the three manifestations of gastroscope were presented,the CAG coincidence rate was more than 70. 00%,and the highest was the rough gastric mucosa with the rate of 77. 78%. When the any two of the manifestations of gastroscope were simultaneously presented,the CAG coincidence rate was more than 80. 00%,and the highest was the rough gastric mucosa and the color of red and white combination with the rate of 88. 00%. When the three of the manifestations of gastroscope were simultaneously presented,the CAG coincidence rate was more than 80. 00%. Hp was positive in 55 cases(50. 93%). 89 cases were diagnosed by pathology,48 cases of them(53. 93%) were Hp positive. In the 42 cases with intestinal metaplasia,24 cases of them(57. 14%) were Hp positive. In 13 cases with dysplasia,9 cases of them(69. 23%) were Hp positive. Conclusion It should be combined with gastroscopy and pathological examination in clinic,and should pay more attention to the typical site biopsy and strengthen the identify of endoscopic morphology, and also standardize the endoscopic operation. It can ultimately improve the diagnostic coincidence rate of the two methods.