实用临床医药杂志2025，Vol.29Issue(22)：24-27,4.DOI:10.7619/jcmp.20252784
优化胃镜观察方案提升浅表性胃病变检出率:前瞻性队列研究
Optimization scheme in improving detection rate of superficial stomach lesions under gastroscope:a prospective cohort study
摘要
Abstract
Objective To investigate the detection efficacy of comprehensive and detailed obser-vation protocol for gastroendoscopy in identifying superficial lesions of the gastric mucosa and early gas-tric cancer.Methods A total of 1,297 patients undergoing painless gastroscopy were selected as the study subjects.They were randomly divided into study group(n=649)and control group(n=648).The study group underwent comprehensive and detailed gastroendoscopic observation,while the control group underwent routine standard gastroscopic procedures.The detection rates of superficial lesions of the gastric mucosa and early gastric cancer were compared between the two groups.Results The de-tection rate of superficial lesions in the gastric fundus and body was higher in the study group than that in the control group,with a statistically significant difference(P＜0.001).The overall detection rate of superficial lesions throughout the entire stomach was 32.7％in the study group,which was higher than 17.6％in the control group,showing a statistically significant difference(P＜0.001).The de-tection rate of early gastric cancer was 0.62％(4/649)in the study group and 0.15％(1/648)in the control group,showing no statistically significant difference(P=0.374).Conclusion The compre-hensive and detailed observation protocol for gastroendoscopy is more meticulous than the routine stand-ard observation protocol,and its unique procedural setup and observational techniques contribute to improved operational efficiency.关键词
胃镜检查/浅表性病变/早期胃癌/内镜操作/胃黏膜/病变检出率/胃窦/胃体Key words
gastroscopy/superficial lesions/early gastric cancer/endoscopic procedure/gas-tric mucosa/detection rate of lesion/gastric antrum/gastric body分类
医药卫生引用本文复制引用
ZHU Bingliang,GAO Feng,QIN Yumeng,SHA Jie..优化胃镜观察方案提升浅表性胃病变检出率:前瞻性队列研究[J].实用临床医药杂志,2025,29(22):24-27,4.基金项目
江苏省中西医结合老年病防治重点实验室资助项目(202223) （202223）
