郑秀平 卢丽花 李鑫静

    【摘要】 目的：探究胃鏡下活体组织检查、外科手术病理检查在胃癌内的诊断价值。方法：选取2020年1月—2021年12月龙岩市第一医院收治的329例疑似胃癌患者，对所有患者均施以胃镜下活体组织检查与外科手术病理检查，对比两者诊断胃癌的效能。结果：329例疑似胃癌患者，经外科手术病理检查共检出324例胃癌，胃镜下活体组织检查共检出319例胃癌，两者诊断检出率相比，差异无统计学意义(P>0.05)。以外科手术病理检查为“金标准”，Kappa检验显示，胃镜下活体组织检查同“金标准”具有中等的一致性(Kappa=0.524，P=0.000)。两者检查各胃癌组织类型的检出率相当，差异均无统计学意义(P>0.05)；胃镜下活体组织检查弥漫浸润型及分化型胃癌检出率均低于“金标准”，差异均有统计学意义(P0.05). Using surgical pathological examination as the "gold standard"， Kappa test showed moderate consistency between live tissue examination under gastroscopy and the "gold standard" (Kappa=0.524， P=0.000). The detection rates of each type of gastric cancer tissue examined by both methods were similar， the differences were not statistically significant (P>0.05); the detection rate of diffuse infiltrative and differentiated gastric cancer under gastroscopy were lower than those the "gold standard" ......