胃息肉的临床、内镜特征和病理特点分析

Analysis of Clinical,Endoscopic,and Pathological Characteristics of Gastric Polyps

目的探究胃息肉的临床、内镜特征和病理特点,为临床胃息肉诊断提供理论参考,以提高胃息肉的治疗水平。方法纳入本院2019年1月-2021年12月收治的100例确诊的胃息肉患者各项临床资料,对其临床、内镜以及病理等特征进行深入分析。结果息肉部位:胃体息肉25例(25.00%)、贲门息肉5例(5.00%)、胃底息肉50例(50.00%)、胃窦息肉18例(18.00%)、幽门息肉2例(2.00%)。病理类型:增生性息肉32例(32.00%)、胃底腺息肉60例(60.00%)、炎性息肉6例(6.00%)、腺瘤性息肉2例(2.00%)。息肉大小:息肉80例(80.00%)<1cm、息肉14例(14.00%)1~1.9cm、息肉6例(6.00%)≥2cm。其他情况:检出异型增生例6例(6.00%),其中发生在胃窦4例(4.00%),发生在胃体2例(2.00%)。结论针对胃息肉的临床、内镜及病理特点进行分析,对临床胃息肉的诊治有一定的指导意义,有利于提高胃息肉的诊治水平。

Objective To explore clinical,endoscopic,and pathological characteristics of gastric polyps,and provide theoretical reference for diagnosis of gastric polyps and improve treatment level of gastric polyps in clinical practice.Methods The paper collected clinical data of 100 confirmed gastric polyp patients in our hospital from January 2019 to December 2021,and analyzed clinical,endoscopic,and pathological characteristics deeply.Results There were 25 cases(25.00%)of gastric body polyps,5 cases(5.00%)of cardia polyps,50 cases(50.00%)of gastric fundus polyps,18 cases(18.00%)of gastric antrum polyps,and 2 cases(2.00%)of pyloric polyps.Pathological types:there were 32 cases(32.00%)of proliferative polyps,60 cases(60.00%)of gastric fundus gland polyps,6 cases(6.00%)of inflammatory polyps,and 2 cases(2.00%)of adenomatous polyps.Polyp size:there were 80 cases(80.00%)of polyps<1cm,14 cases(14.00%)of polyps 1~1.9cm,and 6 cases(6.00%)of polyps≥2cm.Other situations:there were 6 cases(6.00%)of dysplasia were detected,including four cases(4.00%)in gastric antrum and 2 cases(2.00%)in gastric body.Conclusion Analysis of clinical,endoscopic,and pathological characteristics of gastric polyps has some certain guiding significance for diagnosis and treatment of clinical gastric polyps,which is conducive to improving level of diagnosis and treatment of gastric polyps.