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。
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.
作者
罗光雄
吴艳兰
LUO Guang-xiong;WU Yan-lan(Qujing Traditional Chinese Medicine Hospital,Qujing 655000,Yunnan,China)
出处
《医学信息》
2020年第7期102-104,共3页
Journal of Medical Information
关键词
大肠息肉
腺瘤性息肉
结肠镜
癌变
Large intestine polyps
Adenomatous polyps
Colonoscopy
Canceration
作者简介
罗光雄(1974.5-),男,云南曲靖人,本科,副主任医师,主要从事普外科临床工作。
