结肠镜联合病理诊断治疗结肠息肉的分析研究

Analysis of colonoscopy combined with pathological dignosis and treatment of colonic polyps

目的:了解不同性别、年龄段结肠息肉、结肠癌的发病情况,探讨结肠息肉的分布特点。观察冷切除术、氩离子凝固术(APC)、高频电凝电切术、内镜黏膜切除术(EMR)治疗结肠息肉的疗效。方法:按年龄、性别、发病部位以及病理结果等因素,对我院接受结肠镜检查并进行病理诊断的327例患者中结肠息肉与结肠癌发病情况以及内镜下不同治疗方法进行分析。结果:327例经过病理诊断的患者中,结肠息肉检出率为58.7%,结肠癌检出率为11.9%。结肠息肉检出率随着年龄而增加,但差异无统计学意义(P>0.05);本研究性别与结肠息肉、结肠癌的发病率无关;结肠息肉以腺瘤性息肉为主,增生性息肉次之;结肠息肉以单发息肉为多,结肠在多部位有多发息肉类型。结论:男女患者40岁以上结肠息肉及结肠癌的检出率升高,因此40岁以上有肠道症状者应进行结肠镜筛查。可根据息肉单发和多发的特点,结合息肉的大小、性质,选择一种或联合两种的内镜下治疗方案,临床疗效显著,手术安全,以EMR息肉切除术最为常用。

Objective:To investigate the incidence of colon polyps and colon cancer in different genders and ages through pathological diagnosis,and to explore the distribution characteristics of colon polyps,as well as the efficacy of cold resection,APC,high frequency electrocoagulation and EMR in the treatment of colon polyps.Method:According to the factors such as age,sex,location and pathological results,the incidence of colon polyp and colon cancer,as well as the different endoscopic treatment methods,were analyzed in 327 patients who underwent colonoscopy and pathology in our hospital.Results:The detection rate of colon polyp and colon cancer was 58.7%and 11.9%respectively.The detection rate increased with age,but it was not statistically significant due to the inclusion of sample size(P>0.05).The sex of this study was not related to the incidence of colon polyp and colon cancer.The incidence of colorectal polyp was mainly adenomatous polyp,followed by hyperplastic polyp.Colon polyp was the most common polyp,and colon polyp had multiple polyps in many parts of the colon.Conclusion:The detection rate of colon polyps and colon cancer in male and female patients over 40 years old is higher,so those over 40 years old with intestinal symptoms should be screened by colonoscopy.According to the characteristics of single and multiple polyps,combined with the size and nature of polyps,one or two endoscopic treatments can be selected.The clinical effect is remarkable and the operation is safe.EMR polyp resection is the most commonly used.