成人大肠幼年性息肉24例分析  

Analysis of 24 patients with colon juvenile polyps in adults

作　　者：杨璞[1] 田自力[2] 李雅静[2] 田敏 

机构地区：[1]河北大学附属医院五官科,河北保定071000 [2]河北大学附属医院消化科内镜室,河北保定071000 [3]清苑县医院内镜室,河北保定071000

出　　处：《医学研究与教育》2013年第3期40-42,共3页Medical Research and Education

摘　　要：目的探讨成人幼年性息肉患者的临床表现及内镜特点。方法对河北大学附属医院内镜室在2008-2012年发现的24例成人大肠幼年性息肉的临床表现、内镜及病理特点进行分析。结果临床表现以无痛性便血多见,其次腹痛,男性多于女性,病程在2d～40年;发病部位直肠、乙状结肠最多,全结肠均有发病,位于直肠、乙状结肠者达83.3%;息肉以单发,山田III、IV型,直径在2 cm以下多见,发病率0.84%。结论成人大肠幼年性息肉发病率低,临床表现以便血为主,病变主要位于直肠及乙状结肠,单发幼年性息肉恶变可能性小,仍需要定期复查。Objective To explore the clinical and endoscopic characteristics of colon juvenile polyps in adult patients. Methods The clinical, endoscopic and pathological characteristics of 24 adult patients with colon juvenile polyps conformed in the endoscopic department from 2008 to 2012 were analyzed. Results The clinical characteristics was painless hemafecia and abdominal pain, most in men, the course of disease lasted from 2 days to 40 years; the disease located in rectum and sigmoid mostly, about 83.3%; single polyp,Yamada type III and IV, less than 2 centimeters in diameter were simple, about 0.84%. Conclusion The incidence of colon juvenile polyps in adult patients is lower, the clinical characteristics is hemafecia and located in rectum and sigmoid, regular examination is necessary for the single polyp because of the lower chance of canceration.

关 键 词：大肠 幼年性息肉 大肠息肉 

分 类 号：R57[医药卫生—消化系统]