188体育

电子胃镜,电子胃镜价格,电子胃镜厂家

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电子胃镜活检病理诊断伴幽门螺杆菌感染的胃黏膜上皮内瘤变的分析

发布日期:2019-4-2 14:05:26 admin

ZHAIYAO:MUDEPINGJIADIANZIWEIJINGHUOJIANBINGLIZHENDUANBANYOUMENLUOGANJUNGANRANDEWEINIANMOSHANGPINEILIUBIANJIAZHI。FANGFA99LIDIANZIWEIJINGHUOJIANZHENDUANWEINIANMOSHANGPINEILIUBIAN,JUNYOUWAIKESHOUSHUBINGLIDUIZHAO,FENXIYINGXIANGDIANZIWEIJINGHUOJIANZHUNQUEXINGDEYINSU。JIEGUOZHENDUANWEIWEIJINRUNAIDEBINGLISHUQIANDIANZIWEIJINGHUOJIANBINGLIZHENDUANWEILGINYUHGINDEBILIFENBIEWEI7.4%(7/94)JI68.1%(64/94),LIANGZHEYOUXIANZHUCHAYI(P<0.05)。XIANGFUZUYUBUXIANGFUZUBIJIAO,NEIJINGFENXINGⅡXING、ZHONGLIUDAXIAO>2cm、ZHONGLIUGAOZHONGFENHUA,SHIZHENDUANZHUNQUEXINGJIANGDIDEYINSU。QING-ZHONGDUWEIYAN,FUHELVWEI37.0%(20/54),ZHONGDUWEIYAN,FUHELVWEI17.8%(8/45),LIANGZHEYOUXIANZHUCHAYI(P<0.05)。JIELUNDIANZIWEIJINGBINGLIHUOJIANKEYIFAXIANJUEDABUFENDEWEIBUBINGBIANHUANZHE。YICIHUOJIANBUNENGPAICHUWEIAIDEKENENG。DIANZIWEIJINGHUOJIANBINGLIZHENDUANWEIGAOJIBIEGINSHI,DADUOSHUQINGKUANGXIAYOUGENGZHONGBINGBIANDEKENENG,NEIJINGFENXINGⅡXING、ZHONGLIUDAXIAO>2cm、ZHONGLIUGAOZHONGFENHUA,WEIYANYUEZHONG,WEIJINGHUOJIANYUSUIFANGJIWAIKESHOUSHUBINGLIFUHELVYUEDI,MIQIESUIFANGJIWAIKESHOUSHUZHILIAOKEYIMIBUDIANZIWEIJINGHUOJIANBINGLIZHENDUANDEBUZU,ZUIDAXIANDUDITIGAOWEIBUJIBINGZHENDUANZHUNQUEXING。

DIANZIWEIJINGHUOJIANBIAOBENDEBINGLIZHENDUANJIEGUOSHIZHILIAOWEIBUJIBINGZHONGYAOYIJU,SHIXUANZEZHILIAOFANGSHIDEJUEDINGXINGYINSU,DANNEIJINGHUOJIANBINGLIZHENDUANCUNZAIYIDINGJUXIANXING,YINCIKEGUANRENSHINEIJINGHUOJIANJIEGUODUILINCHUANGCAIQUZHENGQUEDEZHILIAOFANGANYOUZHONGYAODEYIYI。WOGUOSHIWEIAIDEGAOFADIQU,WEIAIYUWEIYAN(YOUQISHIYUYOUMENLUOGANJUNGANRANXIANGGUANXINGWEIYAN)HECHANGSHANGPIHUASHENGMIQIEXIANGGUAN[]。WHOGUOJIYANJIUJIGOUYIJIANGHpLIEWEIDIYILEIZHIAIWEIXIANYINZI[2]。ERYOUMENLUOGANJUNGANRANXIANGGUANXINGWEIYAN,JIHUJUNBANSUIBUTONGCHENGDUDEJIMANXINGYANZHENGFANYING,YOUQIYUZHONGXINGLIXIBAODEGUANXIGENGWEIMIQIE,YANZHENGPOHUAIXIANTIJIYOUFADEROUYAZUZHIZENGSHENGKENENGGANRAOZHONGLIUPOHUAIXINGJINRUNDEPANDUAN,CONGERZENGJIAHUOJIANBINGLIZHENDUANDENANDU。

1ZILIAOYUFANGFA

188体育1.1YANJIUDUIXIANGBENYANJIUHUIGUXINGFENXILE2005NIAN9YUEZHI2012NIAN12YUE,NEIMENGGUZIZHIQURENMINYIYUANBINGLIKEYINWEIBUJIBINGXINGDIANZIWEIJINGJIANCHAHUOJIANBINGLIZHENDUANWEIBANYOUHPGANRANWEISHANGPINEILIUBIANBINGREN99LI,TONGSHIJUNYOUWAIKESHOUSHUBINGLIXINXI。QIZHONGNANXING63LI,NVXING36LI;NIANLING39-75SUI,PINGJUN59.52SUI,ZHONGWEINIANLING60SUI,QIZHONG61LI≥50SUI,38LI<50SUI。WAIKESHOUSHUZHILIAOHEDIANZIWEIJINGHUOJIANDEBINGLIJIEGUOBUFUSHI,YIZUZHIXUEJIEGUOZHONGZHEWEIZUIZHONGZHENDUAN。TONGYIHUANZHEYOULIANGZHONGYISHANGBINGBIANSHI,YIZUIZHONGDEBINGBIANZUOWEIZUIZHONGBINGLIZHENDUAN。

1.2FANGFA

188体育1.2.1HUOJIANBIAOBENCHULICHANGGUIHEZHIPIAN。

188体育1.2.2ZHENDUANBIAOZHUNAN2000NIANSHIJIEWEISHENGZUZHI(WH(O)ZHONGLIUXINFENLEIZAIWEIYENAFENLEIBIAOZHUNDEJICHUSHANG,YINRULESHANGPINEILIUBIANDEGAINIAN(GIN)。ZHEIYIFENLEIMINGQUEJIANGWEINIANMOSHANGPINEILIUBIANGENJUXIBAOYIXINGHEJIEGOUWENLUANCHENGDUFENWEIDIJIBIESHANGPINEILIUBIAN(low grade intraepithelial ne-

oplasia,LGIN)HEGAOJIBIESHANGPINEILIUBIAN(high grade in-

traepithelial neoplasia,HGIN)。LGINXIANGDANGYUWEINIANMOQINGDUHEZHONGDUYIXINGZENGSHENG,HGINXIANGDANGYUZHONGDUYIXINGZENGSHENGHEYUANWEIAI,QUDAILEYIWANGYIXINGZENGSHENG、BUDIANXINGZENGSHENGHEYUANWEIAIDENGSHUYU]。ZAI2010NIANXIAOHUAXITONGZHONGLIUWHOFENLEIZHONG,RENWEI“SHANGPINEILIUBIAN”HE“YIXINGZENGSHENG”JUNKESHIYONG,DANFENJIBINGWUMINGXIANBIANHUA,BENWENSHIYONG“SHANGPINEILIUBIAN”ZHEIYICHENGWEI]。WEIYANDEZHENDUANBIAOZHUNCANZHAOXINXINIXITONG[]。

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2JIEGUO

188体育2.1SHOUSHUBIAOBENBINGLIZHENDUANGONGYOU99LIHUANZHEXINGWAIKESHOUSHUZHILIAO,SHUQIANYICIWEIJINGHUOJIANLGIN7LI,HGIN69LI,NIANMONEIAI23LI。SHUHOUBIAOBENBINGLIZHENDUAN:5LIWEIWEIKUIYANGJIFAGAOJIBIESHANGPINEILIUBIAN。71LIWEIZAOQIWEIAI(TU1、TU2),DATIXINGTAIⅠXING(LONGQIXING)9LI,ⅡXING(QIANBIAOXING)56LI,ⅢXING(AOXIANXING)6LI;ZHONGLIUDAXIAO52LI>2cm,19LI

≤2cm。23LIWEIJINZHANQIWEIAIDATILEIXINGWEI,BorrmannFENLEIIXING(XIROUXING)6LI,ⅡXING(CAOSANXING)10LI,ⅢXING(KUIYANGXING)3LI,VXING(JINRUNXING)4LI;ZHONGLIUDAXIAO22LI>

188体育2cm,1LI≤2cm。AIZUZHIXUEFENHUA:41LIGAOFENHUAXIANAI;29LIZHONGFENHUAXIANAI;24LIDIFENHUAXIANAI。

2.2DIANZIWEIJINGHUOJIANGINYUWAIKESHOUSHUZHILIAOBINGLIZUZHIXUEZHENDUANDEDUIZHAOZHENDUANWEIWEIJINRUNAIDEBINGLISHUQIANDIANZIWEIJINGHUOJIANBINGLIZHENDUANWEILGINYUHGINDEBILIFENBIEWEI7.4%(7/94)JI68.1%(64/94),YOUBIAO1KEJIAN,WEIJINRUNAISHIJIYOU94LI,QIZHONGDIANZIWEIJINGHUOJIANQUEZHEN23LI,ZHENDUANWEIGAOJIBIEDE64LI,LIANGZHEGONGZHAN92.6%。

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188体育2.3SHOUSHUBIAOBENNEIJINGFENXING、ZHONGLIUDAXIAOJIZHONGLIUFENHUADUIWEIJINGHUOJIANFUHELVDEYINGXIANGGENJUWEIJINGHUOJIANJISHOUSHUBIAOBENBINGLIJIANGBINGLIFENWEIXIANGFUZUHEBUXIANGFUZU。WEIJINGHUOJIANYUSHOUSHUBIAOBENBINGLIXIANGBIJIAO,NEIJINGFENXINGⅡXING、ZHONGLIUDAXIAO>2cmJIZHONGLIUGAO-ZHONGFENHUAHUANZHE,QIWEIJINGHUOJIANFUHELVJIAODI,CHAYIJUNYOUTONGJIXUEYIYI(P<0.05)。JIANBIAO2。

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2.4YOUMENLUOXUANGANJUNYINQIWEIYANQINGZHONGCHENGDUDUIWEIJINGHUOJIANFUHELVDEYINGXIANGGENJUDIANZIWEIJINGHUOJIANYUWAIKESHOUSHUBINGLIJIEGUOJIANGBINGLIFENWEIXIANGFUZUHEBUXIANGFUZU。DIANZIWEIJINGHUOJIANYUWAIKESHOUSHUBINGLIXIANGBIJIAO,QINGDUJIZHONGDUWEIYAN(TU3、TU4),QIDIANZIWEIJINGHUOJIANZHUNQUEXINGTIGAO,CHAYIYOUTONGJIXUEYIYI(P<0.05)。JIANBIAO3。

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3TAOLUN

GUOWAIYOUBAODAO397LIWEINIANMOSHANGPILIUBIANNEIJINGNIANMOBOLISHUZHILIAOHOUBINGLIYUSHUQIANHUOJIANBINGLIDEDUIBIYANJIUZHONG,QINEIJINGZHILIAOQIANHOUBINGLIZHENDUANDEYIZHILVWEI59.9%[5]。GUONEIYIXIANGBAODAOXIANSHI:WEIJINGHUOJIANQUEZHENWEIWEINIANMOGAOJIBIESHANG

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PINEILIUBIANDE44LIHUANZHEZHONGXINGZHUANGSIZAOQIWEIAIZHEYOU16LI,SIJINZHANQIWEIAIZHEYOU28LI。JINGSHUHOUBINGLIJUNQUEZHENWEIWEIAIZHEYOU42LI[。BENYANJIUWEIJINRUNAIYOU94LI(BAOKUOZAOQIWEIAI71LI),QIZHONGDIANZIWEIJINGHUOJIANQUEZHEN23LI,ZHENDUANWEIGAOJIBIEDE64LI,LIANGZHEGONGZHAN92.6%。YUWENXIANBAODAOJIBENXIANGFU。

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(7/94)JI68.1%(64/94)。RIBENXUEZHEBAODAO[1]468LIWEIFEIJINRUNAIDESHUQIANHUOJIANYUNEIJINGQIECHUSHUZHILIAOHOUBINGLIDEDUIBIYANJIUZHONG,SHUQIANHUOJIANDELOUZHENLVWEI44%,NEIJINGQIECHUSHUQIANHOUZHENDUANYIZHILVWEI56%。FENXILOUZHENDEYUANYINYUBINGBIANDENEIJINGFENXING、BINGBIANMIANJIDEDAXIAODENGYINSUMIQIEXIANGGUAN,

188体育1962NIAN,RIBENNEIJINGXUEHUITICHULEZAOQIWEIAIDENEIJINGFENXING[],BAOKUOWUXING:IXING(LONGQIXING)、IlaXING(QIANBIAOLONGQIXING)、IIbXING(QIANBIAOPINGTANXING)、IIcXING(QIANBIAOAOXIANXING)HEIIIXING(AOXIANXING)。QIZHONGIXINGHEIIIXINGZAINEIJINGXIABIJIAORONGYISHIBIE,ERIⅡXINGYOUQISHIIⅡbXINGSHIBIEQILAIJIAOKUNNAN,YINCILINCHUANGSHANGIIbXINGJIANCHULVHENDI。BENYANJIUZHONGLOUZHENBINGLIZAOQIWEIAIIⅡXING(QIANBIAOXING)JIAODUO48LI(48/71)。JUYIYOUGUOWAIWENXIANBAODAO[5.12],MIANJIXIAOYU2LIMIDEWEISHANGPINEILIUBIANHEZAOAIDEHUOJIANBINGLIZHENDUANYUNEIJINGQIECHUSHUHOUBINGLIZHENDUANDEYIZHILVGAOYUMIANJIDAYU2LIMIDEBINGBIAN。BENYANJIUZHONGLOUZHENBINGLIZHONGLIUDAXIAO>2cmDE67LIMINGXIANDEDUOYUZHONGLIUDAXIAO<2cmDE4LI。LINGWAI,BENYANJIUFAXIANZHONGLIUFENHUACHENGDUYUWEIJINGHUOJIANFUHELVMINGXIANXIANGGUAN,ZHONGLIUGAO-ZHONGFENHUA,FUHELVJIAODI,YOUTONGJIXUEYIYI。

188体育ZAIZAOQIWEIAILINCHUANGSHAIXUANWEISHUBUDUODERENQUNPUCHAZHONG,JUNSHIYIFUBUBUSHI、YINTONG、FANSUAN、AIQIHUOXIAOSHOU、HEIBIANDENGZHENGZHUANGWEIJINXINGNEIJING、WEIBEICANDENGJIANCHADEYIJU。ZHEILEIPUCHASHIZHISHANGSHIYIZHONGZHENGZHUANGXINGSHAIXUAN,WANGWANGBANYOUHPGANRAN。ERHPGANRANYINQIDEYANZHENGFANYINGYEHUIDUIDIANZIWEIJINGHUOJIANDEZHUNQUEXINGCHANSHENGYINGXIANG,BENYANJIUXIANSHI,DIANZIWEIJINGHUOJIANYUWAIKESHOUSHUBINGLIXIANGBIJIAO,QINGDUJIZHONGDUWEIYANYUZHONGDUWEIYANBIJIAO,QIDIANZIWEIJINGHUOJIANZHUNQUEXINGTIGAO,CHAYIYOUTONGJIXUEYIYI(P<0.05)。

ZONGZHI,DIANZIWEIJINGWEINIANMOHUOJIANZUZHIBINGLIZHENDUANSHIZAOQIWEIAIDEWEIYIYIJU,WEIJINGHUOJIANZHENDUANSHANGPINEILIUBIANERCUNZAIJINRUNAI,YOUYIDINGDELOUZHENLV,YINCIKEGUANRENSHIDIANZIWEIJINGHUOJIANBINGLIZHENDUANJIEGUODUILINCHUANGCAIQUZHENGQUEDEZHILIAOFANGANYOUZHONGYAODEYIYI。