胃息肉与结直肠息肉的相关性研究

Study on the correlation between gastric polyps and colorectal polyps

目的:观察确定胃息肉病人结直肠息肉发生情况,了解胃息肉和结直肠息肉的发生是否关联。方法:分析完成胃肠镜检查的150例病人的临床资料。将有胃息肉病人设为观察组,无胃息肉病人设为对照组。比较2组之间的多项检验指标及临床特征之间有无差异,分析胃息肉与结直肠息肉的相关性。结果:胃息肉以女性多见(P<0.05);临床症状中观察组反酸烧心症状多于对照组(P<0.01),而便秘症状在对照组中更为多见(P<0.01)。胃息肉以增生性息肉(35.0%,CI 0.19~0.43)和胃底腺息肉(52.7%,CI 0.72~0.89)多见。观察组HP-IgG阳性较对照组多见(P<0.01);2组病人的结直肠息肉检出率差异有统计学意义(P<0.01),检出的结直肠息肉以增生性息肉和腺瘤性息肉多见,不同病理类型结直肠息肉的检出率差异无统计学意义(P>0.05);多元logistic回归分析调整年龄和性别混杂因素后,结果显示胃增生性息肉、胃底腺息肉、HP-IgG阳性与结直肠息肉的发生仍具有相关性。结论:胃息肉与结直肠息肉有一定关联性,建议胃息肉病人应常规进行结肠镜检查。

Objective:To observe the occurrence of colorectal polyps in patients with gastric polyps,and know the correlation between gastric polyps and colorectal polyps.Methods:The clinical data of 150 patients detected by gastrointestinal endoscopy were analyzed.The patients with gastric polyps and patients without gastric polyps were divided into the observation group and control group,respectively.The multiple test indexes and clinical features were compared between two groups,and the correlation between gastric polyps and colorectal polyps was analyzed.Results:The gastric polyps were more common in women(P<0.05).In clinical symptoms,the acid reflux in observation group was more than that in control group(P<0.01),and the constipation was more common in the control group(P<0.01).The most common gastric polyps were hyperplastic polyps(35.0%,CI 0.19-0.43)and fundus gland polyps(52.7%,CI 0.72-0.89).The positive rate of HP-IgG in observation group was higher than that in control group(P<0.01).The diffeence of the detection rate of colorectal polyps between two groups was statistically significant(P<0.01).The proliferative polyps and adenomatous polyps were the most common colorectal polyps,and there was no statistical significance in the detection rate of colorectal polyps among different pathological types of colorectal polyps(P>0.05).The results of multiple logistic regression analysis showed that the gastric hyperplastic polyps,gastric fundus gland polyps and HP-IgG positive were correlated with colorectal polyps.Conclusions:There is a positive correlation between gastric polyps and colorectal polyps.It is suggested that colonoscopy should be performed routinely in patients with gastric polyps.