胃底腺息肉内镜随访特点及影响因素的研究  

Characteristics and influencing factors of endoscopic follow-up of fundus gland polyps

作　　者：许倩倩[1] 王岚[1] 孙昕[2] 周长宏[1] 董全江[2] 孟欣颖[1] 

机构地区：[1]青岛大学医学院附属青岛市市立医院东区干部保健科,山东青岛266071 [2]青岛大学医学院附属青岛市市立医院东区消化内科,山东青岛266071

出　　处：《胃肠病学和肝病学杂志》2017年第3期320-322,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的回顾性分析胃底腺息肉(fundic gland polyp,FGP)的内镜随访特点及可能的影响因素。方法选取确诊并有内镜随访资料的FGP患者164例。记录入选FGP患者的内镜下一般特征、胃镜复查次数、复查的间隔时间、息肉是否为多发及首次复查是否发现息肉等。结果首次内镜检查发现息肉为单发者85例,多发者79例,多见于胃底(37.9%)和胃体(46.9%),以直径≤5 mm的息肉为主(60.9%)。胃镜复查次数平均(1.3±0.6)次,其中1次129例(78.6%),2次28例(17.1%),≥3次7例(4.3%)。首次复查的间隔时间为(18.3±14.6)个月,其中间隔时间≤12个月76例(46.3%),13~24个月48例(29.3%),>24个月40例(24.4%)。第2、3、4次复查间隔的时间分别为(14.4±9.9)个月、(10.3±6.1)个月和(8.8±3.4)个月(P>0.05)。多发息肉较单发息肉的首次复查间隔时间较短(P<0.05),直径>10 mm的息肉首次复查间隔时间较长。年龄、性别、部位及初次复查是否发现息肉与复查次数和首次复查间隔时间无明显相关性。结论 FGP内镜复查次数较少,多次复查间隔时间有缩短趋势。多发性息肉和直径≤10 mm的息肉更倾向于在12个月内接受首次内镜复查。Objective To analyze the characteristics of endoscopic follow-up of fundic gland polyps （FGP） and the possible influencing factors, retrospectively. Methods Total 164 patients with FGP were selected. The endoscopic review times, interval of different examinations, multiple polyps or not, and polyps found or not in the first gastroscopy were recorded. Results Single polyps were seen in 85 cases and multiple in 79 cases, most FGP were in the gastric fun- dus （37.9%） and body （46.9%） of stomach and with diameter of less than 5 mm （60.9%）. The average number of review times was （1.3 ±0.6） times, with 1 time for 129 cases （78.6%） , 2 times for 28 cases （17.1%） , and 3 times and above for 7 cases （4.3%）. The average interval of first gastroscopy was （ 18.3 ± 14.6） months, with less than or equal to 12 months in 76 cases （46. 3%）, 13 -24 months in 48 cases （29.3%） and 〉24 months in 40 cases （24.4%）. The intervals of 2, 3 and 4 times of gastroscopy were （14.4 _±9.9） months, （10.3 ± 6. 1 ） months and （8.8 ± 3.4） months （P 〉 0.05 ）. The interval of first gastroscopy was shorter in multiple polyps than that in single polyps （P 〈0.05） , which was longer in FGP of diameter of 〉 10 mm than those of ≤10 mm. There were no significant differences of age, sex, location of the polyps, polyps found in first gastroscopy or not among the groups of different review times and interval of the first gastroscopy. Conclusion The endoscopic follow-up of FGP is less frequently with a tendency of shorter interval time of repeated reviews. Multiple polyps and polyps of diameter of ≤ 10 mm more likely accept the first gastroscopy in 12 months.

关 键 词：胃底腺息肉 内镜 随访 

分 类 号：R573[医药卫生—消化系统]