摘要
目的探讨大肠腺瘤癌变的临床危险因素。方法回顾性分析592例大肠腺瘤及癌变病例与腺瘤大小、发生部位、形态、病理类型的关系。结果 592例大肠腺瘤患者发生癌变者为36例,癌变率为6.1%,绒毛状腺瘤癌变率最高,管状腺瘤癌变率较低;直肠腺瘤癌变率均高于右半结肠(P﹤0.05);大肠腺瘤癌变率随着腺瘤的增大而升高,并且广基形腺瘤比长蒂形腺瘤更易癌变。结论大肠腺瘤癌变与腺瘤大小、解剖部位、外形及病理类型等因素有关。
OBJECTIVE To study the clinical risk factors of eoloreetal adenoma. METHODS We respectively analyzed the re- lafionships of colorectal adenoma with the size, location, appearance and pathological type of coloreetal adenoma. RESULTS In all eases, the rate of eancerizafion among 592 was 6.1% （36 eases）. Coloreetal adenoma with eancerization were found, of which the rate of malignant villous adenoma was high, and the rate of malignant tubular adenoma was low. The rate of malignant adenoma was higher significantly in rectum adenoma than that in the right colon adenoma （P 〈 0.05）. The rate of colorectal adenoma with dysplasia and cancerization was increased with the size. The rate of cancerization was higher in flat adenoma than that in stemmed adenoma. CONCLUSION Many factors, such as the size, location, appearance and pathological type of pa- tients were related to eolorectal cancerization.
出处
《现代预防医学》
CAS
北大核心
2012年第18期4898-4899,共2页
Modern Preventive Medicine
关键词
腺瘤
癌变
预防
Colorectal adenoma
Caneerizafion
Precaution
作者简介
何妍（1975-），女，主治医师，研究方向：内镜研究
通讯作者：刘惠民．E—mail：wxyz516@1126．com
