胃息肉118例内镜下治疗评价  

To Analyse Endoscopic Therapy for 118 Cases of Gastric Polyps

作　　者：余艳秋[1] 王建宁[1] 翟启智[1] 李加虎[1] 柏文霞[1] 

机构地区：[1]南京医科大学附属江宁医院消化内科,江苏省南京市211100

出　　处：《医学理论与实践》2013年第23期3086-3087,3101,共3页The Journal of Medical Theory and Practice

摘　　要：目的：分析胃息肉临床、病理学特点，探讨胃息肉内镜下治疗的疗效和安全性。方法：对2010年1月-2013年7月施行内镜下息肉治疗（包括活检钳钳除、高频电凝电切、氩离子凝固术及内镜下黏膜切除术）的118例病例，共162枚息肉进行回顾性分析，对息肉的位置、形态、大小、病理情况、治疗方式以及治疗后的并发症进行分析。结果：162枚息肉分布的部位以胃窦、胃体为主，分别占46．91％、29．63％；息肉的形态主要为山田Ⅰ型和山田Ⅱ型多见，分别为33．95％、29．01％；息肉的大小以0．5～1．0cm的为主，占60．49％；病理类型以炎性息肉和增生型息肉多见，分别占45．68％、37．65％。162枚息肉均予内镜下切除，治疗过程中，21枚采用活检钳钳除，65枚采用圈套电凝电切，51枚采用氩离子凝固术，25枚采用内镜下黏膜切除术，无严重并发症发生。结论：内镜检查是诊断胃息肉的最佳方法，内镜下息肉切除是胃息肉的首选治疗方法，疗效确切，安全性高。Objective.To analyze the clinical and pathological characteristics of gastric polyps. To explore the efficacy and safety of endoscopic in treatment of gastric polyps. Methods： We analyzed 118 patients treated by endoscopic thera- py（including argon plasma coagulation,high frequency electroeoagulation, and endoscopic mucosal resection） from Jan- uary 2010 to July 2013 162 gastric polyps were found among 118 patients. The location, morphology, size, pathological type, treatment methods and complication were analysed. Results： The location of gastric polyps were in gastric antrum （46. 91%） and gastric body（29. 63%）. The main morphology was Yamada type I （33. 95%） and Yamada type II （29.01 %）. The size of gastric polyps was the range of 0.5% 1. 0cm, accounted for 60. 490%. The main pathological type was inflammatory type（45.68%） and hyperplasia type（37. 65%）. 118 patients with 162 polyps were successfully trea- ted. 21 polyps were clamped with biopsy forceps. 65 polyps were cauterized by high frequency electroeoagulation. 51 polyps were removed by argon plasma coagulation. 25 polyps were treated by endoscopic mucosal resection. There＇s no serious complications in this study. Conclusion： Endoscopy is the best way to diagnose gastric polyps. Endoscopic thera- py for gastric polyps is preferred method,which is effective and safe.

关 键 词：胃息肉 内镜治疗 

分 类 号：R735.2[医药卫生—肿瘤]