116例胃黏膜白斑的内镜诊断与病理分析*

Endoscopic diagnosis and pathological analysis of 116 cases of gastric mucosal leukoplakia*

摘要:

目的 探讨胃黏膜白斑的胃镜诊断与病理本质的关系。方法 分析3年来胃黏膜白斑的胃镜表现与病理特点。结果 胃镜诊断胃黏膜白斑116例。大体观察灰白色，圆形、类圆形或斑片状，直径0.2～1.6 cm，镜下88例黏膜固有层出现较多泡沫细胞聚集（占75.9%），伴不同程度炎细胞浸润，胃黏膜白斑病例出现泡沫细胞聚集明显多于无泡沫细胞聚集。结论 胃黏膜白斑病理改变为胃黄色瘤伴黏膜慢性炎。

Abstract:

Objective To investigate the relationship between endoscopic diagnosis and pathological nature of gastric mucosal leukoplakia. Methods Analysis of gastric mucosal leukoplakia patients’ endoscopic features and pathological characteristics of last 3 years. Results Endoscopic diagnosis was made in 116 cases of gastric mucosal leukoplakia. Samples were gray white, round, round shaped or patchy in general observation. Diameter was 0.2 ~ 1.6 cm, foam cell aggregation appeared in the natural layer of mucous membrane in 88 cases (75.9 %), with varying degrees of inflammatory cells infiltration. The foam cells accumulation were observed in high rate among the gastric mucosal leukoplakia cases. Conclusion Pathological changes of gastric mucosal leukoplakia is gastric xanthoma with chronic inflammation of mucosa.