胆囊息肉与不同部位结肠病变相关性研究  

Correlation between gallbladder polyp and colon lesions in different positions

作　　者：许松欣 邓彬[1] 李瑶瑶 吴大成 支杰华 高雪峰[1] 吴健 Xu Songxin;Deng Bin;Li Yaoyao;Wu Dacheng;Zhi Jiehua;Gao Xuefeng;Wu Jian(Department of Gastroenterology,Affiliated Hospital of Yangzhou University,Yangzhou 225000,China)

机构地区：[1]扬州大学附属医院消化科,扬州225000

出　　处：《中华消化内镜杂志》2023年第12期997-1000,共4页Chinese Journal of Digestive Endoscopy

摘　　要：目的探讨胆囊息肉和结肠不同部位息肉发病之间的关系。方法收集纳入2020年1月至2022年10月扬州大学附属医院体检中心接受含肠镜检查的健康体检者,根据结肠息肉位置分为近端结肠组和远端结肠组。将胆囊息肉与其他已知的结肠癌危险因素进行比较分析。对不同部位、不同类型的息肉进行进一步探究。结果有结肠息肉者2811例,其中男1668例,女1143例,平均年龄47.3岁,171例(6.1%)有胆囊结石,459例(16.3%)有胆囊息肉,近端结肠息肉组受检者胆囊息肉发生率较高(21.7%,93/429)。胆囊息肉与近端结肠息肉独立相关,包括增生性息肉(OR=1.525,P=0.029)和腺瘤性息肉(OR=1.425,P=0.017)。胆囊息肉与远端结肠息肉无明显相关性。结论胆囊息肉与近端结肠息肉有关,故对有胆囊息肉者,建议行肠镜筛查。Objective To investigate the correlation between gallbladder polyps and colon polyps of different locations.Methods Healthy subjects who underwent colonoscopy in the Physical Examination Center of the Affiliated Hospital of Yangzhou University from January 2020 to October 2022 were included.They were divided into the proximal colon group and the distal colon group according to the location of colon polyps.Gallbladder polyps were compared with other known risk factors for colon cancer.Different parts and types of polyps were further explored.Results A total of 2811 patients had colon polyps,including 1668 males and 1143 females,with an average age of 47.3 years.One hundred and seventy-one(6.1%)had gallstones,and 459(16.3%)had gallbladder polyps.The incidence of gallbladder polyps was higher in the proximal colon polyp group(21.7%,93/429).Gallbladder polyps were independently associated with proximal colon polyps,including hyperplastic polyps(OR=1.525,P=0.029)and adenomatous polyps(OR=1.425,P=0.017).There was no significant correlation between gallbladder polyps and distal colon polyps.Conclusion Gallbladder polyps are associated with proximal colon polyps,and colonoscopy screening is recommended for people with gallbladder polyps.

关 键 词：胆囊疾病 结肠息肉 腺瘤性息肉 相关性 筛查 

分 类 号：R574.62[医药卫生—消化系统] R575.6[医药卫生—内科学]