大肠黑变病伴发息肉的内镜特点分析  

Analysis of endoscopic characteristics of melanosis coli with polyps

作　　者：赵玉清 张立平[1,2] 王林恒[2] 孟捷[2] 陈润花[2] 姚玉璞[2] ZHAO Yuqing;ZHANG Liping;WANG Linheng;MENG Jie;CHEN Runhua;YAO Yupu(Beijing University of Chinese Medicine,Beijing 100029;Department of Gastroenterology,Dongfang Hospital,Beijing University of Chinese Medicine,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院消化内科

出　　处：《胃肠病学和肝病学杂志》2022年第8期920-925,共6页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的 研究大肠黑变病(melanosis coli,MC)伴发息肉的内镜特点。方法 回顾性分析2014年1月至2021年2月在北京中医药大学东方医院行肠镜检查的患者,根据疾病诊断纳入MC、MC伴息肉、息肉患者,收集三组患者的年龄、黑变部位、息肉大小、息肉部位、息肉类型、息肉病理类型等资料进行统计学分析。结果 研究分别纳入MC组302例、MC+息肉组246例、息肉组333例患者。年龄:MC+息肉组年龄高于MC组和息肉组(P<0.05),MC+息肉组发病人群以60~74岁居多(61.0%)(P<0.05)。黑变部位:MC+息肉组黑变累及3个部位以上的发生频率高于MC组(P<0.05)。息肉大小:MC+息肉组直径>1 cm的息肉检出率高于息肉组(P<0.05)。息肉部位:MC+息肉组右半结肠和盲肠的息肉检出率高于息肉组,病变≥3个部位的频率高于息肉组(P<0.05)。息肉类型:MC+息肉组绒毛管状腺瘤、腺瘤样增生的检出率高于息肉组,管状腺瘤、增生性息肉、炎性息肉的检出率低于息肉组(P<0.05)。病理类型:MC+息肉组和息肉组的息肉病理类型分布及检出率比较,差异无统计学意义(P>0.05)。结论 MC伴发息肉发病年龄较高,黑变范围更广,息肉部位也较多,息肉恶变倾向更明显。Objective To study the endoscopic characteristics of melanosis coli(MC) with polyps.Methods The patients who underwent enteroscopy in Dongfang Hospital,Beijing University of Chinese Medicine from Jan.2014 to Feb.2021 were retrospectively analyzed.According to the disease diagnosis,patients with MC,MC with polyp and polyps were included.The data of age,site of melanosis,size,location,type and pathological type of polyp in the 3 groups were collected and analyzed.Results This study included 302 patients with MC,246 patients with MC+polyp and 333patients with polyp.The age of MC+polyp group was higher than that of MC group and polyp group(P0.05).Conclusion MC with polyp has a higher age of onset,a wider range of melanosis,more polyps,and a more obvious tendency to malignant transformation.

关 键 词：大肠黑变病 息肉 绒毛管状腺瘤 

分 类 号：R574[医药卫生—消化系统]