胃息肉与大肠息肉临床和病理特征分析

摘要

Objective:To explore the clinical and pathological characteristics of gastric polyps and colorectal polyps.Method: The clinical data and pathological data of 63 patients with gastric polyps and 89 patients with colorectal polyps were collected and diagnosed by endoscopy center from September 2010 to October 2015.The age, sex, polyp detection rate, polyp size, number, location and pathological types were compared and analyzed.Results: The detection rate of gastric polyps (10.12%) was lower than that of colorectal polyps (16.96%).The detection rate of gastric polyps (4.46%) and the detection rate of colorectal polyps (8.21%) were less than The detection rate of colorectal polyps was higher than that of gastric polyps (5.71%, 8.75%), the difference was statistically significant (P <0.05) (12.0%) was higher than that of male (8.2%).The detection rate of colorectal polyp was 23.9% higher than that of female (11.0%)(P<0.05).Study of the size of the two polyps found that single gastric polyps more than single large intestinal polyps.The difference of the detection rate of inflammatory, proliferative and adenomatous polyps was statistically significant (P <0.05).Conclusion: The detection rate of gastric polyp was lower than that of colorectal polyp.The older the patients, the higher the detection rate of the two groups of older age groups were higher than the average age group, suggesting that with the increase of age, polyp detection rate the higher.Gastric polyps are common in female patients, and colorectal polyps are common in male patients.Pathological types of gastric polyps inflammatory polyps common, colonic polyps pathological types of tumor polyps are more common midline, analysis shows that the rate of colorectal polyps higher than the gastric polyps.%目的:分析比较胃息肉与大肠息肉的临床和病理特征.方法:回顾性分析于2010年9月至2015年10月经本院内镜中心确诊的的胃息肉患者63例和大肠息肉患者89例,搜集患者的临床资料和病理资料.比较分析两类患者年龄、性别、息肉的检出率以及息肉的大小、数目、位置和病理类型.结果:胃息肉的检出率(10.12%)低于大肠息肉的检出率(16.96%);年龄小于50岁的患者胃息肉检出率(4.46%)和大肠息肉检出率(8.21%)均小于年龄大于50岁的患者的检出率(5.71%、8.75%),大肠息肉的检出率高于胃息肉的检出率,差异具有统计学意义(P<0.05);女性的胃息肉检出率(12.0%)高于男性检出率(8.2%),男性的大肠息肉检出率(23.9%)高于女性(11.0%),(P<0.05).研究两种息肉大小发现,单发胃息肉多于单发大肠息肉.在炎性、增生性和腺瘤性息肉的检出率二者差异均有统计学意义(P<0.05).结论:胃息肉检出率总体低于大肠息肉,年龄大的患者两种类型息肉年龄大的组别检出率均高于平均年龄低的组别,推测随着年龄的增长,息肉的检出率越来越高.胃息肉在女性患者中常见,大肠息肉在男性患者中比较常见.胃息肉病理类型炎性息肉比较常见,大肠息肉病理类型中腺瘤性息肉比较常见.