大肠息肉与胆囊息肉样病变的相关性

Relationship between colorectal polyps and polypoid lesions of the gallbladder

目的:探讨大肠息肉与胆囊息肉样病变(polypoid lesions of the gallbladder,PLG)的相关性.方法:随机选取我院行结肠镜检查的患者211例,分为大肠息肉组(n=111)和对照组(n=100),利用超声检查对大肠息肉组PLG的发生情况进行观察,并与对照组进行对比分析.结果:大肠息肉组PLG的发生率明显高于对照组(χ2=13.60,P<0.001);男女性大肠息肉组间PLG的发生率无差异;按大肠息肉的病理类型进行分层比较显示非腺瘤性大肠息肉组PLG的发生率高于对照组(χ2=3.86,P<0.05),而腺瘤性大肠息肉组PLG的发生率明显高于对照组(χ2=19.04,P<0.001),且高于非腺瘤性大肠息肉组(χ2=3.94,P<0.05).结论:大肠息肉与PLG之间可能存在一定的相关性.

AIM： To reveal the relationship between colorectal polyps and polypoid lesions of the gallbladder （PLG）. METHODS： A total of 211 patients who under-went colonoscopy in our hospital were random-ly assigned to colorectal polyps group （n = 111） and control group （n = 100）. Ultrasonography was performed to observe PLG in the colorectal polyps group and a comparative analysis was performed on the two groups. RESULTS： The frequency of PLG in the colorec-tal polyps group was significantly higher than that in the control group （χ2 = 13.60, P 〈 0.001）; the frequency of PLG showed no difference between the male and female colorectal polyps groups. Comparison and analysis according to the pathological type of the colorectal polyps showed that the frequency of PLG in the colorec-tal non-adenomatous polyps group was higher than that in the control group （χ2 = 3.86, P 〈 0.05）, while the frequency of PLG in the colorectal adenomatous polyps group was significantly higher than that in the control group （χ2 = 19.04, P 〈 0.001） and was higher than that in the non-adenomatous group （χ2 = 3.94, P 〈 0.05）. CONCLUSION： The frequency of PLG in pa-tients with colorectal polyps, especially with ad-enomatous polyps, was significantly higher than that in patients without colorectal polyps, sug-gesting a possible relationship between colorec-tal polyps and PLG.