摘要
目的 研究老年人胃息肉的临床、病理特点及演变规律。 方法 对 36 42名老年人进行胃镜检查 ,检出胃息肉患者 115例 ,随访 2～ 10年 ,平均随访 6 5年 ,对所发现的胃息肉根据情况均进行内镜下切除 (钳除或电切 ) ,送病理检查。 结果 对 36 42例老年人行胃镜检查 ,发现胃息肉患者 115例 ,检出率为 3 2 % ;其中炎性、增生性、腺瘤性息肉分别占 6 0 8%、33 6 %、5 6 % ;息肉部位分别为贲门 13 3%、胃底 2 0 9%、胃体 34 3%、胃窦 2 3 1%、残胃 8 4% ;息肉切除后有 30例再发 ,再发率2 6 1% ,以内镜切除后第 1～ 3年多见 ,腺瘤性息肉及多发性息肉患者易再发 ;115例中只有 1例癌变 ,癌变率 0 87%。 结论 老年人胃息肉病理类型同一般人群无明显改变 ,老年人无特殊的息肉好发部位 ,各部位亦无特殊病理类型的好发息肉。对胃息肉进行及时切除 ,有利于防止胃癌的发生。
Objective To study the clinical and pathological characters and the evolutionary rule of gastric polyps (GP) in old patients. Methods From 1986 to 1996, 115 out of 3 642 elderly patients were diagnosed GP by gastroscopy. All polyps were histologically classified after endoscopic polypectomy and all patients were followed up for 2-10 years. Results The incidence of geriatric GP was 3.2%, and inflammatory, hyperplastic and adenomatous polyps were 60.8%, 33.6% and 5.6%, respectively. 13.3% polypoid lesions were located at gastric cardia, 20.9% fundus, 34.3% corpora ventriculi, 23.1% antrum, and 8.4% at remnant stomach. During the follow up period, 30 patients underwent recurrent GP, and only 1 patient (0.87%) went malignancy. Frequent recurrence was found in patients with adenomatous polyp or multiple polyps. Conclusions It was found that the elderly people are high risk group of GP, but showed no specific location of GP occurrence and no significant difference from general populations in histological types. Gastroscopic polypectomy helps prevent them from GP malignancy.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2000年第4期271-273,共3页
Chinese Journal of Geriatrics
