摘要
目的：探讨大肠息肉患者的年龄、息肉的发生部位、大小和息肉的病理类型以及息肉癌变的相关规律;方法：对电子肠镜检查中检出的大肠息肉患者的临床表现、内镜及病理资料进行分析;结果：在152例肠镜检查患者中,发现大肠息肉257枚,其中男性87例,女性65例,检出率12.8%;年龄50~69岁占59.2%;腺瘤性、炎性、增生性、幼年性息肉分别占63.8%、23.7%、8.6%和3.9%;息肉部位分别为盲肠4.3%、升结肠9.7%、横结肠6.6%、降结肠4.6%、乙状结肠33.9%、直肠40.9%。152例患者中有5例有发生癌变,癌变率3.3%。结论：50~69岁大肠息肉发病率较高,男性较女性更易患大肠息肉;息肉好发部位为左半结肠;病理类型以腺瘤性息肉、炎性息肉较常见;左半结肠息肉、直径≥2.0 cm息肉容易癌变;内镜切除大肠息肉可预防息肉癌变。
Objective：To study the climico pathological characteristics of colorectal polyps and factors affected polyp-carcinoma;Methods：We analyzed the clinical,enteroscopic and pathological characteristics of 152 cases of colorectal polyps.Results：The incidence of colorectal polyps was12.8%,including 87 men and 65 women.The rate of colorectal polyp were 59.2% in 50～69 year olds.The adenomatous,inflammatory,hyperplastic and juvenile polyps were 63.8%,23.7%,8.6% and 3.9%,respectively.Polypoid lesions were located at cecum 4.3%,ascending 9.7%,transverse 6.6%,descending 4.6%,sigmoid 33.9%,and rectum 40.9%.Five cases were found to have polpous canceration.Conclusion：The ages between 50～69 tend to suffer from colorectal polyps.The incidence in the male is higher than that in the female.Colorectal polyps are more likely to locate in left colon.The common pathological types were adenomatous and inflammatory polyps.There is a high canceration of polyps in the left colon and ≥2.0cm polyps.All of the colon polyps should be excised and undergo the pathological examination.Enteroscopic polypectomy helps prevent colorectal polypous canceration.
出处
《华西医学》
CAS
2008年第4期846-847,共2页
West China Medical Journal
关键词
大肠息肉
内镜
病理
colorectal polyps
endoscopes
pathology
