瘀血质大肠息肉患者息肉病理类型及其预后研究

Study on the Pathological Types and Prognosis of Polyps in Patients with Blood Stasis Colorectal Polyps

目的观察瘀血质大肠息肉患者息肉病理类型及其5年内复发、癌变的情况。方法选择2010年1月~2013年12月我科收治的大肠息肉患者91例,使用红外热成像仪观察其胃经、脾经循经皮温均温及两经原穴温度,辨析其体质,将瘀血质患者作为观察组(46例),非瘀血质患者作为对照组(45例),分析两组大肠息肉的大小、形态、部位、病理类型,以及患者5年内复发及癌变情况。结果观察组息肉病理类型中腺瘤性占71.74%,息肉直径1~2 cm占78.26%,直径>2 cm占8.69%,有分叶息肉占34.78%;5年内有3例患者发生癌变,17例患者术后1年内复发,23例患者术后2年内复发,29例患者术后5年内复发;对照组息肉病理类型中腺瘤性占8.89%,息肉直径<1 cm占77.78%,息肉直径1~2 cm占22.22%,无分叶息肉占84.44%,5年内均无癌变,7例患者术后1年内复发,9例患者术后2年内复发,14例患者术后5年内复发。结论瘀血质大肠息肉患者病理类型多为腺瘤性,复发情况高于非瘀血质大肠息肉患者。

Objective To observe the pathological types of polyps in patients with bloody colorectal polyps and their recurrence and canceration within 5 years.Methods 91 patients with colorectal polyps from January 2010 to December 2013 were selected in our department.The average temperature of the percutaneous temperature of the stomach and spleen meridian and the temperature of the original points of the two meridians were observed using infrared thermal imaging equipment,and their constitutions were analyzed.Blood stasis patients were used as the observation group(46 cases),and non-blood stasis patients were used as the control group(45 cases).The size,shape,location,pathological type of colorectal polyps in the two groups were analyzed,and the recurrence and canceration of the patients within 5 years.Results In the observation group,polyps accounted for 71.74% of the pathological types,polyps with a diameter of 1~2 cm accounted for 78.26%,diameters>2 cm accounted for 8.69%,and lobed polyps accounted for 34.78%;3 patients developed cancer within 5 years,17 patients relapsed within 1 year after operation,23 patients relapsed within 2 years after operation,and 29 patients relapsed within 5 years after operation.Adenomatosis accounted for 8.89% of polyp pathological types in the control group,and polyps diameter<1 cm accounted for 77.78%,polyps diameter 1~2 cm accounted for 22.22%,non-lobulated polyps accounted for 84.44%,no cancerous within 5 years,7 patients relapsed within 1 year after surgery,9 patients relapsed within 2 years after surgery,14 patients relapsed within 5 years after surgery.Conclusion The pathological types of patients with blood stasis colorectal polyps are mostly adenomatous,and their recurrence are higher than those of patients with non-blood stasis colorectal polyps.