胃息肉的临床、内镜特征和病理特点分析

Analysis of clinic,gastroscopic and pathological characteristics of gastric polyps

目的分析胃息肉的临床、内镜及病理特点。方法对440例胃息肉患者的临床资料进行回顾性分析。结果各病理类型胃息肉均有随年龄增长而增多的趋势,40岁之后表现尤为明显。女性略多于男性,其中胃底腺息肉更多见于女性。主要病理类型依次是:胃底腺息肉、增生性息肉、炎性息肉、腺瘤性息肉。主要发生部位依次是胃底、胃体、胃窦、贲门、幽门。<1 cm的胃息肉最多。≥1 cm的胃息肉最多见于胃窦,<1 cm的胃息肉多见于胃底,差异有统计学意义(P<0.05)。胃底腺息肉最多见于胃底,增生性息肉最多见于胃窦,<1 cm的息肉多是胃底腺息肉,≥1 cm的息肉多是增生性息肉,差异均有统计学意义(P<0.05)。5例增生性息肉和2例腺瘤性息肉被检出异型增生,发生部位主要在胃窦。结论对胃息肉的临床、内镜及病理特点的分析有助于胃镜检查对胃息肉性质的初步判断,提高诊断的准确性,指导活检及随访观察。

Objective To analyze the clinic,gastroscopic and pathological characteristics of gastric polyps. Methods The clinical of 440 patients with gastric polyps were retrospectively analyzed. Results Gastric polyps of all pathological sorts increased with age,especially after 40. Female pateints seemed a little more than male. The fundic gland polyps were more likely found in female. The main pathologicaltype were fundic gland polyps,hyperplastic polyps,inflammatory polyps and adenomatous polyps respectively. The main site were polyps in gastric cardia,fundus,body,antrum and pylorus respectively. Polyps less than 1 cm was the most. More than 1 cm of gastric polyps were most found in gastric antrum,and less than1 cm gastric polyps most in bottom,there was significantly difference（ P 〈0. 05）. Fundic gland polyps were most found in the bottom of the stomach,the hyperplastic polyp in gastric antrum; less than 1 cm of the polyps were most fundic gland polyps,more than 1 cm of polyps were hyperplastic polyp,there was significantly difference（ P 〈0. 05）. Dysplasia was found in 5hyperplastic polyps and 2adenomatous polyps,most found in antrum.Conclusion The analysis of clinic,gastroscopic and pathological characteristics of gastric polyps is helpful to preliminary judgement of GPs during gastroscopy,accuracy of diagnosis,guidance of biopsy and follow-up.