胃息肉与大肠息肉临床和病理特征的比较  

Comparison of clinicopathological features between gastric polyps and colorectal polyps

作　　者：郑恩典 郑亮 林细州 王英 兰巧丽 蔡强 

机构地区：[1]浙江省温州市人民医院消化内科,325000 [2]Emory大学消化科,亚特兰大30322

出　　处：《中华全科医师杂志》2016年第6期444-448,共5页Chinese Journal of General Practitioners

摘　　要：目的分析胃息肉与大肠息肉临床、病理特征的异同.方法回顾性分析2004年1月至2013年12月温州市人民医院2 125例胃息肉与4 924例大肠息肉患者的临床、病理特征.比较不同年龄段、不同性别胃息肉和大肠息肉的检出率、内镜检查原因、息肉部位、数目、大小及病理类型等.结果胃息肉检出率[3.1％ （2 125/69 575）]低于大肠息肉检出率[24.5％ （4 924/20 124）,χ^2=9 886.401,P＜0.01].年龄＜20、20～ 39、40～59和≥60岁的患者胃息肉检出率分别为1.8％（23/1 302）、1.8％（399/22600）、3.4％（1 137/33 087）和4.5％ （566/12 586）,差异有统计学意义（χ^2 =238.867,P＜0.01）;大肠息肉检出率分别为6.6％ （14/211）、11.6％（623/5 385）、26.0％（2 622/10 070）和37.3％（1 665/4458）,差异有统计学意义（χ^2=934.724,P＜0.01）.20～39、40～59和≥60岁患者胃息肉和大肠息肉检出率比较,差异均有统计学意义（均P＜0.01）.胃息肉检出率男性[2.3％（848/36447）]低于女性[3.9％（1 277/33 128）,χ^2=273.807,P＜0.01];大肠息肉检出率男性[28.8％（3 239/11 230）]高于女性[18.9％（1 685/8 894）,χ^2=262.518,P＜0.01].内镜检查原因中,与胃息肉患者比较,大肠息肉患者因腹泻[23.5％（1 156/4 924）比2.5％ （54/2 125）,χ^2=558.080,P＜0.01]、消化道出血[12.1％ （597/4 924）比2.4％（51/2 125）,χ^2=168.150,P＜0.01]而进行内镜检查的比率更高.单发胃息肉[80.7％（1 714/2 125）]较单发大肠息肉[67.6％（3 331/4 924）]多见（χ^2=186.337,P＜0.01）;≥1.0 cm的大肠息肉[24.3％（1 197/4 924）]较胃息肉[13.6％ （289/2 125）]多见（χ^2=102.333,P＜0.01）.胃息肉与大肠息肉的病理类型比较,炎性[67.1％（1 378/2 125）比27.5％（1 273/4924）,χ^2=934.394,P＜0.01]、增生性[26.9％（552/2 125）比9.9％（459/4924）,χ^2=319.588,P＜0.01]和腺瘤性[1.7％ （34/2 125）比62.4％（2 893/4 924）,χ^2 =2 135.743,P＜0.01]息�Objective To compare of clinical and pathological features between gastric polyps and colorectal polyps.Methods The clinical characteristics and pathological features of 2 125 patients with gastric polyps and 4 924 patients with colorectal polyps admitted in Wenzhou People＇s Hospital from 2004 to 2013 were compared.The detection rates,the indication of endoscopy,distribution,number,size and pathological type of gastric polyps and colorectal polyps were analyzed.Results The detection rate of gastric polyps was 3.1% （2 125/69 575） and that of colorectal polyps was 24.5% （4 924/20 124） （χ^2 =9 886.401,P 〈0.01）.The detection rates of gastric polyps in age groups 〈 20,20-39,40-59 and ≥60 were 1.8% （23/1 302）,1.8% （399/22 600）,3.4% （1 137/33 087） and 4.5% （566/12 586）,respectively （χ^2 =238.867,P 〈 0.01）;and those for colorectal polyps were 6.6% （14/211）,11.6% （623/5 385）,26.0% （2 622/10 070） and 37.3% （1 665/4 458）,respectively （χ^2 =934.724,P 〈 0.01）.The detection rates of gastric polyps in age groups 20-39,40-59 and ≥60 were lower than those in colorectal polyps（all P 〈 0.01）.The detection rate of gastric polyps in males was lower than that in females（2.3%,848/36 447 vs.3.9%,1 277/33 128,χ^2 =273.807,P 〈0.01）,while the detection rate of colorectal polyps in males was higher than that in females （28.8%,3 239/11 230 vs.18.9%,1 685/8 894,χ^2 =262.518,P 〈 0.01）.Diarrhea and gastrointestinal bleeding in patients with colorectal polyps was more common than those in patients with gastric polyps （23.5%,1 156/4 924 vs.2.5%,54/2 125,χ^2 =558.080,P〈0.01;12.1%,597/4 924 vs.2.4%,51/2 125,χ^2 =168.150,P 〈0.01）.Single polyps were more common in gastric polyps than colorectal polyps（80.7%,1 714/2 125 vs.67.6%,3 331/ 4 924,χ^2 =186.337,P 〈0.01）.Polyps with size ≥ 1.0 cm were more common in colorectal polyps than those in gastric polyps （24.3%,1 197/4 924 vs.13.6%,289/2 125,χ^2 =102.333,P 〈 0.01）.The proportion of inflam

关 键 词：息肉 胃 大肠 疾病特征 

分 类 号：R57[医药卫生—消化系统]