论文部分内容阅读
目的:通过对我院胃息肉患者胃镜下表现及病理特点分析,为胃息肉的临床诊断及治疗提供客观依据.方法:对本院2010-01/2013-01消化内镜室检出的460例胃息肉患者的胃镜结果、病理资料进行分析.结果:在检出的460例胃息肉病例中,男性179例(38.9%),女性281例(61.1%),年龄在22-85岁之间,高发年龄段为40-70岁(71.7%,330/460),单发息肉263例(57.2%),多发息肉197例(42.8%);息肉主要位于胃窦和胃体(77.2%,355/460),直径多≤0.5 cm,共为416例(90.4%);病理结果显示增生性息肉多见共197例(42.8%),其次是炎性息肉196例(42.6%)息肉的形态学分型山田分型Ⅰ、Ⅱ型共509枚(67.7%)占大多数.结论:(1)胃息肉内镜下直径较小,多为单发,女性多见,好发人群为中老年人;(2)息肉主要位于胃窦和胃体,增生性息肉和炎性息肉占大部分,形态学分型以Ⅰ、Ⅱ型多见;(3)胃镜检查时除明确诊断息肉外,还应对息肉标本进行病理检查,以明确息肉类型,并指导内镜治疗术式的选择.
Objective: To provide objective basis for the clinical diagnosis and treatment of gastric polyps by analyzing the gastroscopy findings and pathological features of patients with gastric polyps in our hospital. Methods: 460 cases of gastrointestinal endoscopy were detected in this hospital from 2010/2013-01. Gastric endoscopic findings and pathological data were analyzed. Results: Of the 460 cases of gastric polyps detected, 179 (38.9%) were males and 281 (61.1%) were females, aged between 22-85 years. High-risk age ranged from 40 to 70 years old (71.7%, 330/460), 263 cases (57.2%) of single polyps, and 197 cases (42.8%) of multiple polyps; polyps were mainly located in the gastric antrum and stomach (77.2%, 355/ 460), diameter ≤ 0.5 cm, a total of 416 cases (90.4%); pathological results showed that more common in 197 cases (42.8%) of hyperplastic polyps, followed by inflammatory polyps 196 cases (42.6%) polymorphic morphological classification A total of 509 (67.7%) of Yamada’s type I and II types accounted for the majority. Conclusions: (1) The diameter of gastric polyps is small, mostly single, more common in women, and the prevalent group is middle-aged and elderly people; 2) Polyps are mainly located in antrum and stomach, hyperplastic polyps and inflammatory polyps are the major types, and morphological typing is more common in types I and II. (3) In addition to clear diagnosis of polyps during gastroscopy, polyps should also be performed. Pathological examination, To identify the type of polyps and guide the choice of endoscopic treatment.