胃黄斑瘤354例临床特征分析  

Clinical characteristics analysis on 354 cases of Gastric xanthelasma

作　　者：邓高振[1] 范章连 杨亮[1] 张东升[1] 王瑞芳[1] 陈四八 Deng Gaozhen;Fan Zhanglian;Yang Liang;Zhang Dongsheng;Wang Ruifang;Chen Siba(Department of Gastroenterology,Hospital of Integrated Chinese and Western Medicine in Sanming,Sanming,Fujian,365001,China)

机构地区：[1]三明市中西医结合医院消化内科

出　　处：《当代医学》2019年第20期80-83,共4页Contemporary Medicine

摘　　要：目的探讨胃黄斑瘤的临床及病理特征,分析其发病机制及与胃黏膜病变关系,提高对本病的认识。方法收集本院2013年1月至2017年12月经胃镜及病理组织学确诊的胃黄斑瘤者354例进行系统性回顾分析。结果5年间检出胃黄斑瘤者354例,检出率为1.60%,男女之比为1∶1.11,年龄28~86岁,平均年龄(56.55±12.29)岁,50岁以上251例(70.9%),胃窦部207例(58.5%)。临床表现为上腹部不适、腹胀、恶心等。胃镜特点为稍高出于胃黏膜的黄白色或淡黄色斑,可单发或多发,伴非萎缩性胃炎241例(68.1%),萎缩性胃炎107例(30.2%),胃黏膜糜烂117例(33.1%),肠上皮化生者198例(55.9%),幽门螺杆菌阳性者174例(49.2%)。结论胃黄斑瘤是胃内良性病变,好发于中老年人,有逐年增加趋势,其发生主要与年龄、胃黏膜炎症、肠上皮化生、幽门螺杆菌感染等因素共同作用的结果,本病预后良好,治疗上以缓解伴有疾病为主,也可采取钳除、APC、EMR等方法去除病灶。Objective To explore the clinical and pathological characte- ristics of gastric xanthelasma, To analyze its pathogenesis and relationship with gastric mucosa lesions, Raise awareness of the disease. Methods A total of 354 cases of gastric macular tumor diagnosed by gastroscopy and pathological histology in our hospital from January 2013 to December 2017 were systematically reviewed and analyzed. Results The detection rate was 1.60 % in 354 patients with gastric xanthelasma detected in 5 years, and the ratio of male to female was 1∶1.11, and the age was 28 to 86 years old, with an average age of (56.55±12.29) years, 251 cases over 50 years of age (70.9%), 207 cases of gastric antrum (58.5%). The clinical manifestations of abdominal discomfort, abdominal distention, nausea, etc. On the characteristics of gastroscope was slightly higher in gastric mucosa of yellowish-white or yellowish spots, can be single or multiple, with 241 cases (68.1%) of chronic surface gastritis, chronic atrophic gastritis107 cases (30.2%), gastric mucosal erosion in 117 cases (33.1%), intestinal metaplaisa198 cases (55.9%), helicobacter pylori was 174 cases (49.2%). Conclusion Gastric xanthelasma is a benign lesion in the stomach, Occurs in the elderly, there are increasing year by year, it mainly occur with age, gastric mucosa inflammation, intestinal metaplasia, helicobacter pylori infection, etc. As a result, the effect of the disease prognosis is good, the treatment is mainly to alleviate the accompanying diseases. which can also take pliers in addition to the removal of lesion, APC and EMR method.

关 键 词：胃黄斑瘤 慢性胃炎 肠化 幽门螺杆菌 

分 类 号：R573[医药卫生—消化系统]