不同年龄患者胃息肉特点分析  

Analysis of characteristics of gastric polyps in different age groups

作　　者：张园[1] 彭伯坚[1] 张拥军[1] 骆凤娇 卢秀珊 ZHANG Yuan;PENG Bojian;ZHANG Yongjun;LUO Fengjiao;LU Xiushan(Department of Gastroenterology,The People's Hospital in Huadu District of Guangzhou City,Guangzhou 510800,China)

机构地区：[1]广州市花都区人民医院消化内科,广东广州510800

出　　处：《包头医学院学报》2019年第1期21-22,30,共3页Journal of Baotou Medical College

摘　　要：目的:研究不同年龄患者胃息肉特点。方法:选择2017年1月至2018年1月在广州市花都区人民进行胃镜检查明确诊断胃息肉的病例758例,记录其性别、年龄、内镜下胃息肉部位、大小、数目、病理结果、伴发胃黏膜病变情况和HP检测结果,并根据年龄分为三组<40岁组、40～60岁组、>60岁组分析比较不同年龄患者胃息肉的特点。结果:11426例患者中共检出胃息肉758例,检出率6.63%,其中女性检出率(8.52%)高于男性(4.53%);胃息肉检出率中40-60岁组(63.32%)最高,>60岁组(15.43%)最低;胃体及胃底是胃息肉的好发部位,胃底息肉占37.20%,胃体息肉占43.40%;相同部位各年龄组之间发病率无明显差异;息肉单发常见占69.79%,其中单发息肉者中以<40岁组人群为主(82.60%);胃黏膜正常者者中<40岁组占47.20%,伴胃糜烂者中40～60岁组患者占66.45%;伴萎缩、胆汁反流、胃溃疡和胃癌患者各年龄组发病率无明显差异;胃底腺息肉发病率最高为57.91%,增生性息肉者中以>60岁组占比最高(35.04%),炎性息肉各组比较<40岁组占比最高(19.25%),HP阳性患者(33.37%)及阴性患者(66.62%)各年龄组比较无明显差异。结论:胃息肉发病率女性高于男性,其中40～60岁组发病率最高;胃体胃底是息肉的多发部位且单发多见,<40岁组多为单发息肉;胃息肉伴胃粘膜糜烂发病率较其他胃粘膜病变高,其中40～60岁组最明显,而<40岁组多为正常黏膜;病理检测胃底腺息肉发病率最高,增生性息肉以>60岁组占比最高而炎性息肉<40岁组占比最高。Objective:To study the characteristics of gastric polyps in different age groups.Methods:758 patients with gastric polyps who were examined by gastroscopy in the People's Hospital in Huadu District of Guangzhou City from January,2017 to January,2018 were selected,with sex,age,location,size,number of gastric polyps under endoscopy,pathological findings,associated gastric mucosal lesions and HP test results recorded,and were divided into three groups according to age,including under 40 years old group,40~60 year old group,and over 60 years old group.Then,the characteristics of gastric polyps in different age groups were analyzed and compared.Results:(1)758 cases of gastric polyps were detected in 11426 cases of patients,the detection rate was 6.63%.The detection rate of female was 8.52%,which was higher than that in the male of 4.53%.(2)The detection rate of gastric polyps was different among different age groups.The detection rate of gastric polyps was the highest in 40~60 years old group of 63.32%and the lowest in over 60 years old group of 15.43%.(3)The proportion of gastric fundus polyps was 37.20%,the proportion of gastric polyps was 43.40%and the gastric body and fundus were the predilection sites of gastric polyps.There was no significant difference in the incidence of gastric polyps among different age groups at the same site.The single polyp rate of 69.79%,which was higher than the multiple polyp rate of 30.21%.The single polyp rate in the group under 40 years old was higher than that in other age groups(82.60%).The normal gastric mucosa group under 40 years old(47.20%)was more common.The incidence of gastric erosion group(66.45%)was the highest in 40~60 years old group.There was significant difference among different age groups.There was no significant difference in the incidence of atrophy,bile reflux,gastric ulcer and gastric cancer among different age groups.(4)The incidence of fundus gland polyp(57.91%)was the highest.The proportion of hyperplastic polyps among the over 60 years old group(35.04%)was t

关 键 词：不同年龄 胃息肉 内镜 病理 

分 类 号：R573[医药卫生—消化系统]