老年患者结直肠侧向发育型肿瘤手术前后病理结果的对比  

Comparison of pathological findings of colorectal laterally spreading tumors before and after surgery in elderly patients

作　　者：王辉[1] 冯露漾 王小刚[1] 何小飞 Wang Hui;Feng Luyang;Wang Xiaogang;He Xiaofei(The People＇s Hospital of Zitong County,Sichuan Province 622150)

机构地区：[1]四川省梓潼县人民医院,622150

出　　处：《中国社区医师》2018年第29期142-143,共2页Chinese Community Doctors

摘　　要：目的:探讨老年患者结直肠侧向发育型肿瘤(LSTs)手术术后病理与手术前活检结果之间的差异。方法:收治LSTs老年患者82例,比较术前活检与术后活检病理结果的差异。结果:术前活检与术后病理诊断一致率59.76%(49/82),高级别上皮内瘤变(HGIN)和低级别上皮内瘤变(LGIN)完全一致率比较差异无统计学意义(P>0.05);82例患者,术后病理较活检病理程度减轻6例,加重27例。对术后病理相同组(n=49)及病理加重组(n=27)进行临床特征分析,大体分型、病变直径≥30 mm、腺管开口类型比较差异有统计学意义(P<0.05),两组年龄、病变位置、性别比较差异无统计学意义(P>0.05)。结论:病变直径、大体分型及腺管开口类型是影响活检结果的重要因素,术前活检时应结合这3个临床特征进行准确活检,以提高术前正确诊断率。Objective：To explore the difference between postoperative pathology and preoperative biopsy results of colorectal laterally spreading tumors（LSTs） in elderly patients.Methods：82 elderly patients with LSTs were selected,we compared the difference between preoperative biopsy and postoperative biopsies.Results：The coincidence rate of preoperative biopsy and postoperative pathological diagnosis was 59.76% （49/82）.There was no significant difference between high grade intraepithelial neoplasia（HGIN） and low grade intraepithelial neoplasia（LGIN） in completely consistent rate（P〉0.05）.Of the 82 patients, compared with biopsy pathology,the degree of postoperative pathology was reduced in 6 cases and aggravated in 27 cases.The clinical characteristics were analyzed in the same group of postoperative pathology（n=49） and the pathology aggravated group（n= 27）,there were significant differences in gross classification,diameter of lesions greater than or equal to 30 mm and types of glandular duct opening（P〈0.05）,there was no significant difference in age,lesion location and sex between the two groups（P〉 0.05）.Conclusion：The diameter of lesion,gross classification and types of glandular duct opening were important factors affecting biopsy results,in preoperative biopsy,we should combine these three clinical features for accurate biopsy in order to improve the correct preoperative diagnosis rate.

关 键 词：术后病理 LSTs 老年患者 术前活检 

分 类 号：R735.3[医药卫生—肿瘤]