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胃息肉的检出率逐年增高,其临床症状不明显且有一定癌变倾向。目的:了解胃镜下胃息肉的临床和病理特征。方法:对2010年1月~2013年1月新疆医科大学第一附属医院检出的111例胃息肉患者的内镜、病理资料和手术情况进行回顾性分析。结果:本组老年患者(≥60岁)为胃息肉高发人群(56.8%);单发性息肉80例(72.1%),多发性息肉31例(27.9%);息肉主要位于胃体(52.3%);息肉直径≤0.5 cm多见(69.4%);息肉类型主要为增生性息肉(40.5%)和炎性息肉(33.3%)。息肉治疗以活检钳钳除30例,内镜黏膜下注射0.9%NaCl溶液联合高频电切摘除54例,内镜下黏膜切除术(EMR)治疗6例,内镜黏膜下剥离术(ESD)治疗4例,余17例行外科手术治疗。12例患者接受随访,其中2例复发。结论:胃息肉直径较小,多为单发;息肉主要位于胃体,以增生性息肉和炎性息肉为主;治疗方式多选择内镜下切除,息肉切除后有复发的可能性,应加强随访。
The detection rate of gastric polyps increased year by year, the clinical symptoms are not obvious and have a certain tendency to cancer. Objective: To understand the clinical and pathological features of gastric polyps under endoscopy. Methods: The clinical data of 111 patients with gastric polyp detected in the First Affiliated Hospital of Xinjiang Medical University from January 2010 to January 2013 were retrospectively analyzed. Results: The elderly patients (≥60years old) had a high prevalence of gastric polyps (56.8%), 80 (72.1%) had polyps, and 31 (27.9%) had polyps. The polyps mainly located in the corpus (52.3% ). The diameter of polyps was less than 0.5 cm (69.4%). The types of polyps were mainly polyps (40.5%) and inflammatory polyps (33.3%). Polyposis treatment with biopsy forceps in addition to 30 cases, endoscopic subcutaneous injection of 0.9% NaCl solution combined with high-frequency excision in 54 cases, endoscopic mucosal resection (EMR) in 6 cases, endoscopic submucosal dissection (ESD) Treatment in 4 cases, more than 17 cases of surgical treatment. Twelve patients were followed up and 2 of them relapsed. Conclusion: The diameter of gastric polyps is small, mostly single; polyps are mainly located in the corpus, mainly to proliferative polyps and inflammatory polyps; treatment options and more endoscopic resection, the possibility of recurrence after polyp resection should be strengthened Follow-up.