摘要
目的对比分析2005年与2015年大肠息肉检出率及病理类型,进而指导内镜医师提高大肠息肉检出率,以减少大肠癌发生率。方法收集2005年及2015年本院大肠息肉检出情况及病理学结果资料,并进行回顾性分析。结果 2015年大肠息肉检出率为29.30%,高于2005年的25.89%;大肠息肉常发生在乙状结肠,大多无蒂型且<5 mm;病理类型:2005年腺瘤226枚(82.8%),早癌1枚(0.4%);2015年腺瘤692枚(61.1%),早癌28枚(2.5%),其他类型12枚(黄斑瘤8枚,神经内分泌肿瘤2枚,癌1枚,平滑肌瘤1枚)。结论 2015年大肠息肉检出率提高,病理学类型较2005年更具多样性,且早癌检出率也明显提高。
Objective To improve the colon polyps＇ detection rates and reduce the incidence of colorectal cancer through investigating the changes of colon polyps＇ detection rates and pathologic spectrum in 2005 versus 2015. Methods The endoscopic data and pathology results of colorectal polyps in our hospital were collected for retrospective analysis. Results Detection rate in 2015（29.30%） was high than that in 2005（25.89%）. The colorectal polyps in the sigmoid colon, of sessile type and with size less than 5 mm were commonly observed. Pathology types： 226 adenomas and 1 early-colorectal cancer were identified in 2005; 692 adenomas, 28 early-colorectal cancers and 12 other types （8 xanthelasmas, 2 neuroendocrine tumors, 1 cancer and 1 leiomyoma） in 2015. Conclusion Detection rates of colorectal polyps and early cancer in 2015 are higher than those in 2005, and more diversity of pathological types in 2015 were observed compared to 2005.
出处
《解放军医学院学报》
CAS
2017年第6期524-526,530,共4页
Academic Journal of Chinese PLA Medical School
作者简介
王鹏，男，学士，主治医师。研究方向：呼消化内科常见病诊治、胃肠镜及超声内镜操作。Email：wwwangp@sina．com
通信作者：贾淑娟，女，硕士，主任医师，主任。Email：jiashujuan1501@163．com
