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结直肠癌患者肠道内窥镜活检病理诊断的临床效果观察

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目的 探讨结直肠癌患者肠道内窥镜活检病理诊断的结果。方法 选取福清市第二医院 2021 年 12 月—2022 年 12 月就诊的结直肠癌患者 50 例,所有患者均开展肠道内窥镜活检,完成活检后将其与术后诊断结果进行对比,对结肠癌活检病理诊断的价值展开研究。结果 术后活检病理诊断结果与结肠癌活检病理诊断比较,差异无统计学意义(P>0。05)。是否存在黏膜下侵犯对比,肠道内窥镜活检率为 76。00%,病理诊断率为 80。00%,差异无统计学意义(P>0。05)。结论 结直肠癌患者行病理诊断可获得理想的诊断结果,有助于后续结直肠癌患者的治疗。肠道内窥镜活检无法对黏膜下是否侵犯精准判断,要想将临床诊断准确度显著提升,需与患者的具体状况相结合或联合其他检查手段对患者的病情予以明确,从而开展针对性治疗。
Clinical Efficacy Observation of Pathological Diagnosis of Colorectal Cancer Patients by Intestinal Endoscopic Biopsy
Objective To explore the pathological diagnosis results of endoscopic biopsy in patients with colorectal cancer.Methods A total of 50 colorectal cancer patients who visited the Second Hospital of Fuqing from December 2021 to December 2022 were selected,and all patients underwent intestinal endoscopic biopsies.The value of biopsies in pathological diagnosis of colon cancer was studied by comparing them with postoperative diagnosis results.Results There was no statistically significant difference between the pathological diagnosis results of postoperative biopsy and colon cancer biopsy(P>0.05).The comparison of submucosal invasion showed that the biopsy rate of intestinal endoscopy was 76.00%,and the pathological diagnosis rate was 80.00%,with no statistically significant difference(P>0.05).Conclusion The pathological diagnosis of colorectal cancer patients can obtain the ideal diagnosis results,which is helpful for the subsequent treatment of colorectal cancer patients.Intestinal endoscopic biopsy can not accurately judge whether submucosal invasion,in order to significantly improve the accuracy of clinical diagnosis,it is necessary to combine with the specific condition of the patient or combine with other examination methods to clarify the patient's condition,so as to carry out targeted treatment.

colorectal cancerintestinal endoscopic biopsypathological diagnosisaccuracyhistological featuresdiagnostic rate

李圣梅、薛从岚

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福清市第二医院病理科,福建 福清 350315

结直肠癌 肠道内窥镜活检 病理诊断 准确性 组织学特征 诊断率

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(17)