[多次胃抽吸活检结合内镜和组织形态学研究]。

Vutreshni bolesti Pub Date : 1991-01-01
V Matov, P Popov, A Mikhova
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引用次数: 0

摘要

该研究包括50例十二指肠消化性溃疡患者,将其分为两组:30例患者中有1例每隔14天进行两次活检,以研究该方法与组织学诊断相关的可重复性;第二组20例患者用于测定适合诊断的全值活检的百分比。结果显示,78%的病例第二次检查的组织学诊断与第一次检查的诊断一致,33%的病例单次检查的活检显示胃炎的严重程度与其他病例不同。大多数活检具有充分的价值(84%),每例患者平均10次活检获得19mg的材料是足够的。活检后的内窥镜检查显示不完全型的人工侵蚀局限于体部,很少有单一的上颌窦侵蚀。胃镜检查发现的胃窦活检百分比(6%)与组织学检查发现的胃窦活检百分比(0.6%)的差异证明了胃窦腺体的基底化。提出的多次穿刺活检方法信息丰富,无创,技术上易于执行。
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[Multiple gastric aspiration biopsies combined with endoscopic and histomorphological studies].

The study includes 50 patients with duodenal peptic ulcer who are classified into 2 groups: 1 gr. of 30 patients to whom biopsy was performed twice at a 14 day interval in order to study the reproducibility of the method in relation to the histological diagnosis; II group of 20 patients served for determination of the percentage of full value biopsies suitable for diagnosis. The results showed that the histological diagnosis based on the second examination coincided with the diagnosis from the first examination in 78% of the cases and by the single examination 33% of the biopsies showed gastritis of different severity from the rest. Most of the biopsies were of full value--84%, and the material of 19 mg obtained from mean 10 biopsies to a patient was sufficient. The endoscopic control following the biopsies revealed artificial erosions of incomplete type localized in the corpus and rarely single erosions in the antrum. The difference in the percentage of antral biopsies found by gastroscopy--6% and that found by histological examination--0.6% is a proof for the fundalization of the antral glands. The proposed method for multiple aspiration biopsy is informative, noninvasive and technically easy to perform.

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