961例胃息肉内镜及病理特点分析

Analysis of Endoscopic and Pathological Features of 961 Cases of Gastric Polyps

目的分析常见类型胃息肉的内镜及病理特点。方法回顾性分析中部战区总医院2016-01/2019-06月经内镜诊断并经病理证实为胃息肉的患者资料。结果共纳入961例息肉患者,其中男331例(34.44%),女630例(65.56%),平均年龄(53.5±12.6)岁。最常见的3种病理类型为增生性息肉、炎性息肉和胃底腺息肉,年龄、性别、息肉数目分布及癌前病变发生率在上述3种息肉类型间差异均无统计学意义(P>0.05),而位置分布、幽门螺杆菌(helicobacter pylori,Hp)感染率在3种息肉类型间比较差异具有统计学意义(P<0.05),增生性及炎性息肉均好发于胃体,胃底腺息肉多发于胃底;炎性息肉Hp感染率明显高于增生性及胃底腺息肉。结论息肉类型与其好发位置、Hp感染状况相关。

Objective To analyze the endoscopic and pathological characteristics of common types of gastric polyps.Methods The data of patients with gastric polyps diagnosed by endoscopy and confirmed by pathology from January 2016 to June 2019 in the General Hospital of Central Theater Command were retrospectively analyzed.Results A total of 961 patients with polyps were enrolled,including 331 males(34.44%)and 630 females(65.56%),the average age was 53.5±12.6 years.The three most common types were hyperplastic polyps,inflammatory polyps and fundic gland polyps.There were no significant differences in the age,gender,number of polyps and incidence of precancerous lesions among the three types of polyps(P>0.05),while the location distribution and Helicobacter pylori(Hp)infection rates were significantly different among the three types of polyps(P<0.05).Hyperplastic polyps and inflammatory polyps were mainly located in the corpus,while fundic gland polyps were mainly located in the fundus.Hp infection rates in inflammatory polyps was significantly higher than those in hyperplastic ployps and fundic gland ployps.Conclusion The location distribution and infection of Hp were related to polyp types.