98例胃息肉患者的临床特点及不同方法的治疗效果

Clinical characteristics of 98 patients with gastric polyps and the effects of different endoscopic treatment

目的探讨胃息肉患者临床特点及不同治疗方法的效果。方法选取医院行胃镜检查的1 852例患者病例资料作回顾性分析,对所发现的胃息肉行内镜下观察,并行内镜切除术治疗及病理学检查。结果本组98例患者中,单发性息肉占56.12%,多发性息肉占43.88%,差异无统计学意义(P>0.05);胃底腺息肉发病率最高,占60.20%,其次为增生性息肉、炎症性息肉,分别为23.47%、12.24%,具有统计学差异(P<0.05);胃体和胃底为胃息肉的高发部位,占71.43%,胃窦其次,占17.35%;具有统计学差异(P<0.05);炎症性息肉H.pylori阳性率最高,为75.0%;增生性息肉也高,为69.57%,显著高于胃底腺息肉和幼年性息肉,具有统计学意义(P<0.05);胃底腺息肉、增生性息肉、炎症性息肉、幼年性息肉近端胃及远端胃浅表性炎症的几率较萎缩性炎症高,具有统计学意义(P<0.05)。术后无一例患者出现胃穿孔、切口感染等;6个月后随访80例患者,无1例复发。结论胃息肉以单发性为主,胃底腺息肉发病率较高,易出现浅表性炎症,可分发于胃黏膜任何部位,以胃体和胃底最为常见,H.pylori感染可能与增生性息肉有关。

Objective To explore the clinical characteristics of patients with gastric polyps and the effects of different endoscopic treatment. Methods The clinical data of 1,852 patients who underwent gastroscopy in our hospital were retrospectively analyzed. Endoscopic resection and pathological examination were performed when the gastric polyps were found under endoscopy. Results Among 98 patients with polyps found through gastroscopy, 56.12% was single polyp and 43.88% was multiple polyps （P 〉 0.05）. The relevance ratio of fundic gland polyps was the highest （60.20%）, followed by hyperplastic polyps （23.47%） and inflammatory polyps （12.24%）（P 〈 0.05）; Gastric body and gastric fundus had a high incidence of gastric polyps （71.43%）, followed by gastric antrum （17.35%）（P 〈 0.05）; 14. pylori positive rate of inflammatory polyps was the highest （75.0%）, followed by hyperplastic polyps （69.57%）, which were significantly higher than fundic gland polyps and juvenile polyps（P 〈 0.05）; The probability of superficial inflammation in proximal and distal stomach with fundic gland polyps, hyperplastic polyps, inflammatory polyps and juvenile polyps was higher than atrophic inflammation （P 〈 0.05）. No patient had perforation or infection after resection, and no recurrence in 80 followed-up patients after six months. Conclusion Gastric polyps were mainly solitary and easier to induce superficial inflammation. They might appear in anywhere of gastric mucosa, especially at gastric body and fundus. 14. pylori infection may be associated with hyperplastic polyps.