Objective To analyze the endoscopic and pathological characteristics of gastric fundus polyps, and explore the strategies for clinical treatment. Methods The clinical data of patients diagnosed by endoscopy from 2009 to 2010 in the Affiliated Hospital of Guilin medical college were retrospectively analyzed, including endoscopic data, pathological data, and the examination data of Helicobacter pylori. Statistical analysis was performed by SPSS. Results 42.4% gastric polyps were present in fundus. 55.7% of the patients with gastric polyps aged from 50 to 70 years old; Hyperplastic and inflammatory polyps were the mainly pathological types, accounting for 83.4%. 86.3% patients were found with polyps less than 0.5 cm in diameter; 73.2% of the polyps were of Yamada type I. The infection rate of H. pylori was 21.5% in 107 patients, which showed weak correlation with the pathological type. 64.5% of the patients had chronic gastritis, peptic ulcer and other diseases. Conclusion Patients at the age of 50 to 70 years old have the highest tendency to develop polyps in gastric fundus. Most of polyps are of type I with a diameter less than 0.5 cm; The most common pathologic type is hyperplastic polyps. H. pylori infection rate and the incidence of ade-nomatous polyps are low. Gastric fundus polyps showed weak relationship with cancer.%目的 分析内镜下胃底息肉形态学特征、病理类型分布,以探讨其临床治疗策略.方法 回顾桂林医学院2009-2010年胃镜下确诊胃底息肉患者的临床资料,包括内镜下资料、病理资料、幽门螺杆菌相关检查资料,以SPSS软件进行数据分析.结果 胃底息肉发生率占胃息肉发生率的42.4％,55.7％的胃底息肉患者年龄在50 ～ 70岁之间,胃底息肉以增生性息肉及炎性息肉为主(83.4％),胃底腺息肉占10.2％,而腺瘤性息肉1例,息肉直径小于0.5 cm者158例(86.3％),73.2％为山田Ⅰ型.107例胃底息肉患者中Hpylori的感染率为21.5％,与胃底息肉病理类型无关,64.5％的患者合并慢性胃炎、消化性溃疡等疾病.结论 胃底息肉的好发年龄为50～70岁,在形态上以山田Ⅰ型多见,直径多小于0.5 cm,增生性息肉是最多见病理类型,幽门螺杆菌感染率低.腺瘤性息肉的发生率低,胃底息肉癌变率低,建议采取不同方式处理.
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