[1]罗光雄,吴艳兰.大肠息肉患者临床特征及病理特点分析[J].医学信息,2020,33(07):102-104.[doi:10.3969/j.issn.1006-1959.2020.07.029]
　LUO Guang-xiong,WU Yan-lan.Analysis of Clinical and Pathological Characteristics of Patients with Colorectal polyps[J].Medical Information,2020,33(07):102-104.[doi:10.3969/j.issn.1006-1959.2020.07.029]
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大肠息肉患者临床特征及病理特点分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年07期
页码:
102-104
栏目:
临床研究
出版日期:
2020-04-01

文章信息/Info

Title:
Analysis of Clinical and Pathological Characteristics of Patients with Colorectal polyps
文章编号:
1006-1959（2020）07-0102-03
作者:
罗光雄; 吴艳兰
（曲靖市中医医院普外科，云南 曲靖 655000）
Author(s):
LUO Guang-xiong; WU Yan-lan
(Qujing Traditional Chinese Medicine Hospital,Qujing 655000,Yunnan,China)
关键词:
大肠息肉; 腺瘤性息肉; 结肠镜; 癌变
Keywords:
Large intestine polyps; Adenomatous polyps; Colonoscopy; Canceration
分类号:
R511.5
DOI:
10.3969/j.issn.1006-1959.2020.07.029
文献标志码:
A
摘要:
目的 分析大肠息肉患者临床特征及病理特点，以期为大肠息肉的临床诊断、大肠息肉癌变的预防及治疗提供参考。方法选取２０１７年１月～２０１８年１２月我院经结肠镜检查诊断为大肠息肉的１５８０例患者，记录患者性别、年龄、临床表现、息肉情况（大小、数目、部位）、病检情况、息肉癌变情况。结果 １５８０例大肠息肉患者中，男性９２１例，女性６５９例；患者年龄＜４０岁１３０例，４１～６０岁７７１例，６０岁以上６７９例；以腹痛腹胀为主要表现５８７例、以便血为主要表现３５４例、以腹泻为主要表现１４５例，以大便改变为主要表现２７３例，其他表现２２１例；息肉主要位于直肠和乙状结肠；息肉直径＜１０ ｍｍ ９０１例，直径≥１０ ｍｍ ６７９例；息肉数量＜３个８９１例，数量≥３个６８９例，腺瘤性息肉１１２１例，非腺瘤性息肉４５９例；息肉发生癌变２９５例，其癌变率为１８．６７％（２９５／１５８０），男性患者息肉癌变率为２１．５０％，高于女性的１４．７2％，差异有统计学意义（Ｐ＜０．０５）。结论 中老年人大肠息肉发病率较高，男性好发，临床表现以腹痛腹胀为主，病理类型以腺瘤性息肉为主，男性息肉癌变率高于女性，提示４０岁以后人群应作常规肠镜检查，早预防、早发现、早治疗。
Abstract:
Objective To analyze the clinical and pathological characteristics of patients with colorectal polyps in order to provide a reference for the clinical diagnosis of colorectal polyps and the prevention and treatment of colorectal polyps.Methods From January 2017 to December 2018,1580 patients with colonic polyps diagnosed by colonoscopy in our hospital were selected,and the patients’gender,age,clinical manifestations,polyp status(size,number,location),disease detection status,polyps were recorded.Cancerous condition.Results Among the 1580 patients with colorectal polyps,921 were male and 659 were female;130 patients were<40 years old,771 cases from 41 to 60 years old,679 cases over 60 years old;587 cases with abdominal pain and bloating as the main manifestation,354 cases with blood as the main manifestation, 145 cases with diarrhea as the main manifestation,273 cases with the stool as the main manifestation,other manifestations 221 cases;polyps are mainly located in the rectum and sigmoid colon;901 cases of polyps<10 mm in diameter,679 cases of diameter≥10 mm;The number of polyps is less than 3,there are 891 cases;the number is≥3,there are 689 cases;1121 cases of adenomatous polyps,459 cases of non-adenomatous polyps;There were 295 cases of polyps cancerous,and the canceration rate was 18.67%(295/1580).The rate of canceration of polyps in male patients was 21.50%,which was higher than that in women, which was 14.72%,the difference was statistically significant(P<0.05).Conclusion The incidence of intestinal polyposis in the middle and old people is high,the male is prone to hair,the clinical manifestation is abdominal pain and abdominal distension,the pathological type is adenomatous polyp,and the cancer rate of male polyp is higher than that of female,suggesting that the population after 40 years of age should do routine enteroscopy,early prevention,early detection and early treatment.

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更新日期/Last Update: 2020-04-01