192例结肠息肉临床分析

Cfinical analysis of 192 cases of colonic polypus

目的分析结肠息肉，特别是腺瘤性息肉的临床及内镜特征，指导内镜治疗及随访。方法回顾性分析192例结肠息肉患者的临床资料，着重观察腺瘤患者的年龄、症状及腺瘤部位。结果192例结肠息肉患者中腺瘤性息肉共64例，其中高危腺瘤34例（53．13％），低危腺瘤30例（46．88％）。两组腺瘤的血便发生率、位置分布比较差异有显著性（P〈0．05）。结论与低危腺瘤比较，高危腺瘤更易出现血便，更多出现在左半结肠。

Objective To guide endoscope treatment and prognosis judgment, we investigate the endoscopic and clinical characteristics of colonic polypus, especially the adenomatoid polypus. Methods The clinical data of 192 patients, especially the age, symptom and position of adenoms were analyzed retrospectively. Results The total of adenomatoid polypus was 64, including 34 higher risk adenomas （53.13%） and 30 lower risk adenomas（46.88% ）. There were significant difference in hemafecia and the location of adenomatoid polypus between 2 groups （ P 〈 0.05 ）. Conclusions The higher risk adenomas were more hemafeeia and more located at left colon, compared with lower risk adenoms.