胃息肉的临床特征分析与治疗决策

Analysis of clinical characteristics and treatment strategy for gastric polyps

目的总结胃息肉的临床特征及病理类型分布,以探讨其临床治疗策略。方法回顾性分析近7年湘雅医院住院患者中胃息肉患者的临床资料,包括内镜报告、幽门螺杆菌检查及病理诊断等。结果 251例患者被纳入该研究,其中214例年龄在30～70岁之间;单发186例,占74.1%;共发现息肉379枚,多位于胃窦和胃体;息肉直径在1.0cm内者占81.8%;以炎性息肉最常见,占67.01%;多数患者接受内镜下治疗,无1例出现并发症。结论胃息肉多发生于中老年。大部分息肉直径不超过1.0cm,以炎性息肉最常见;内镜下治疗胃息肉安全、有效,对于无内镜下治疗禁忌证的患者,建议在首次内镜检查时即予以息肉切除。

【Objective】 To summarize clinical characteristics and pathological distribution of the gastric polyps,and explore clinical treatment strategy.【Methods】 A retrospective analysis of the in-patients with gastric polyps in Xiangya Hospital in the past seven years was carried out,in which the clinical data,such as the endoscopy results,H.pylori tests and pathology were analyzed.【Results】 A total of 251 patients with 379 polyps were included in our research.Among them,214 patients aged 30 to 70 years old.186 cases have single polyp,accounting for 74.1 percent.The polyps were likely to occur at the antrum and stomach body.Most of polyps（81.8 percent） were less than 1.0 cm in diameter;Inflammatory polyps were the most common,which is 67.01 percent.Most patients received endoscopic treatment,and no complications occurred in any cases.【Conclusions】 Gastric polyps were liable to occur in elderly people.Most of the polyps were less than 1.0 cm and were inflammatory.Endoscopic treatment of gastric polyps is safe and effective.It is recommended that as long as there is no contraindication,the gastric polyps should be removed at the time of being detected.