结肠息肉与幽门螺杆菌感染及胃息肉的关系

Relationship between colorectal polyps and Helicobacter pylori infection and gastric polyps

目的研究结肠息肉与幽门螺杆菌(Hp)感染及胃息肉的关系。方法选取2014年10月-2019年8月该院接受胃镜和结肠镜检查的患者235例。依据结肠镜结果,将患者分为结肠息肉组(119例)和对照组(116例)。统计分析各组Hp感染率。结果左半结肠息肉组的Hp感染率高于对照组,腺瘤性息肉组和增生性息肉组的Hp感染率高于对照组,差异均有统计学意义(P<0.05)。各亚组组内Hp感染率比较,差异无统计学意义(P>0.05)。两组患者胃息肉发生率比较,差异无统计学意义(P>0.05)。结论Hp感染可促进结肠息肉的发生和发展。结肠腺瘤性息肉和增生性息肉与Hp感染相关。对于感染Hp的结肠腺瘤性息肉和增生性息肉患者,建议立即进行息肉切除术。结肠息肉的存在与胃息肉的存在没有直接关系。

Objective To study the relationship between colorectal polyps,Helicobacter pylori(Hp),gastric polyps.Methods From October 2014 to August 2019,235 patients underwent gastrointestinal endoscopy.According to the results of colonoscopy,the patients were divided into colon polyp group(119 cases)and control group(116 cases).Statistical analysis of Hp infection rate in each group.Results The Hp infection rate in the left colon polyp group were higher than those in control group,and the Hp infection rate in the adenoma polyp group and the hyperplastic polyp group were higher those that in control group(P<0.05).There had no statistical differences in Hp infection rate between subgroups(P>0.05).There had no statistical differences in the incidence of gastric polyps between the colon polyp group and the control group(P>0.05).Conclusion Hp infection may promote the occurrence and development of colon polyps.Adenoma polyp and hyperplastic polyps are associated with Hp infection.Immediate polyps removal is recommended for patients with Hp infected colorectal adenoma polyps and hyperplastic polyps.The presence of colon polyps is not directly related to the presence of gastric polyps.