大肠锯齿状腺瘤的内镜表现及病理学特征分析  

Endoscopy and Histopathological Features of Serrated Adenoma of Large Intestine

作　　者：郭海梅[1] 娄丽华[2] 吴建龙[1] 王贺[1] 吴迪[1] 

机构地区：[1]河北省承德市中心医院内窥镜室,河北承德067000 [2]承德医学院附属医院ICU,河北承德067000

出　　处：《河北医学》2014年第9期1494-1496,共3页Hebei Medicine

摘　　要：目的:探讨结直肠锯齿状腺瘤(SA)的内镜表现及病理学特征。方法:收集分析本院内窥镜室2009年1月至2013年12月所有接受结肠镜并经病理证实的SA 48例。结果:48例患者共检出SA90枚,其中37枚为扁平型,53枚为隆起型;SA常见于乙状结肠及直肠。病理学轻度异型增生72枚,中度10枚,重度8枚,其中6枚癌变。大于或等于10mm SA较10mm以下的SA异型程度重(P<0.05)。结论:大肠SA内镜下表现无特异性,具有一定的癌变率,应早期发现、早期诊断,早期治疗。Objective：To explore the endoscopy and histopathological morphology of colorectal serrated adenomas （ SA ） .Method：48 SA patients diagnosed by endoscopiy and pathology in Chengde Central Hospi -tal from January 2009 to December 2013 were analyzed respectively .Result：90 SA were detected from 48 patients, 37 cases of flat, 53 cases of uplift.SA was frequently located in the sigmiod colon and rectum . There were pathology mild dysplasia 72 cases,moderate dysplasia 10 cases,sevee dysplasia 8（ cancertionfoci 6 cases）.The dysplasia of SA≥10 mm was significantly worse than that of SA 〈10 mm （ P〈0.05）.Conclu-sion：The SA not only have endoscopy specificity ,but also have certain canceration rate .We shoud early dis-covery, early diagnosis, early treatment.

关 键 词：锯齿状腺瘤 结肠镜检查 病理学特征 

分 类 号：R735.34[医药卫生—肿瘤]