胃息肉的临床特征总结

Analysis of clinical characteristic of gastric polyps

目的总结内镜下胃息肉形态学特征、病理类型分布并分析其与幽门螺旋杆菌感染、萎缩性胃炎的相关性。方法回顾我院自1998年至2 0 0 2年胃镜下确诊胃息肉患者及对照组(慢性胃炎组和消化性溃疡组)的内镜下资料、病理资料、H .pylori相关检查资料(包括尿素酶、病理H E染色、13 C呼吸试验、血清H .pylori抗体检测)。以SPSS软件进行数据分析。结果5 1.3 %的胃息肉患者年龄在5 0～70岁之间,山田I型息肉占65 6% ,64 7%的息肉直径小于0 5cm ,炎性息肉占75 9% ,腺瘤性息肉仅占1 2 8% ;胃息肉患者中H .pylori的感染率为5 3 .2 % ,萎缩性胃炎的发生率为8.2 % ,与对照组相比无显著性差异。结论胃息肉的好发年龄为5 0～70岁,在形态上以山田Ⅰ型多见,直径多<0 .5cm ,病理类型以炎性息肉多见;H .pylori感染与炎性息肉相关;未发现胃息肉患者伴随萎缩性胃炎的发生率增高腺瘤性息肉的发生率低,胃息肉癌变率低。

Objective To analyze the clinical characteristics of gastric polyps and its relationship with Helicobacter Pylori infection, atrophic gastritis. Methods Review the cases of gastric polyp sdiagnosed by endoscopy from 1998～2002. Analyze pathological data and laboratory tests to determine the Helicobacter.pylori infection with software SPSS 8.0. Results Fifty one point three percent Patients with gastric polyps are aged between 50 to 70 years old; 65.6% of gastric polyps are Yamada type I; 64.7% of gastric polyps are less than 0.5cm in diameter; 75.9% of gastric polyps are inflammatory polyps; adenomatous polyps was only 1.28%. H.Pylori infection rate and atrophic gastritis incidence in patients with gastric polyps are 53.2% and 8.2% respectively; there was no statistic difference compared with control group. Conclusion Patients age between 50 and 70 have the highest tendency to develop gastric polyps. Most of the gastric polyps are type I with diameter <0.5cm. Inflammatory polyps are the most commonly-found pathological type; H. pylori infection is related to inflammatory gastric polyps. The incidence of atrophic gastritis in patients with gastric polyps is not higher than that of control group.The incidence of adenomatous gastric polyps is low and gastric polyps has weak relationship with gastric cancer.