摘要
目的探讨胃息肉的临床及病理特点，并初步评价胃息肉的内镜下治疗效果及预后．方法对１２２例胃息肉患者作临床及病理组织分析，其中９７例行内镜下治疗，５８例作６个月－９年的随访复查．结果胃息肉患者的中位年龄为４６岁，３０－６０岁患者占７２３％；多发性胃息肉２３例（１８９％），单发性胃息肉９９例（８１１％），胃体和胃窦部胃肉占全部息肉的８２７％，９６４％的息肉直径小于２ｃｍ．病理组织学分类炎症性息肉和腺瘤性息肉分别占４６７％、３３０％．随访中有４例患者息肉复发或再发，１例癌变．结论胃息肉多见于中年患者，好发于胃体和胃窦部，以炎症性息肉和腺瘤性息肉为最多；胃息肉的内镜下治疗安全、可靠；
AIM To explore the clinical and pathological features of gastric polyps and evaluate the efficacy and prognosis of therapeutic endoscopy on gastric polyps. METHODS Gastric polyps in 122 patients who had undergone endoscopic examinations were reviewed. Among them, 97 gastric polyp patients were treated with therapeutic endoscopy and 58 were followed up from 6 months to 9 years. RESULTS Mean age in the patients with gastric polyps was 46, and the patients aged 30 60 years accounted for 72 3% of all gastric polyp patients. About 41 6% of polyps were located in gastric corpus, 41 1% in antrum, 9 6% in pylorus, 6 2% in fundus and 1 5% in cardia. Single polyp was in 99 patients (81 1%) and multiple polyps in 23 patients (18 9%). Histologically, inflammatory polyps accounted for 46 7%, adenomatous polyps for 33 0%, hyperplastic polyps for 19 3% and fibro inflammary polyps for 1 0%. Gastric polyps were removed with biopsy forceps, electrocautery, wire loop, microwave or ethanol injection. The recurrence of polyps or new polyp formation was detected in 4 patients and cancerous change of the polyp in 1 patient. CONCLUSION Gastric polyps occur mainly in the middle aged subjects. Most polyps are located in gastric corpus or antrum and are histologically inflammatory and adenomatous polyps. Endoscopic therapy for the gastric polyps is safe and effective. Follow up is suggested for gastric polyp patients after endoscopic treatment.
