结肠息肉内镜表现及病理结果分析  

Analysis of endoscopic findings and pathological findings of colonic polyps

作　　者：钟斌 Zhong Bin(Beijing Nuclear Industry Hospital,Beijing 100000,China)

机构地区：[1]北京核工业医院,北京100000

出　　处：《首都食品与医药》2024年第19期52-54,共3页Capital Food Medicine

摘　　要：目的探讨结肠息肉内镜表现及病理结果。方法选择北京核工业医院2023年1月-2024年1月收治结肠息肉患者68例,均予内镜检查及病理学诊断,分析病变位置、大小、形态等内镜下特征,并分析病理类型、癌变情况及息肉大小、患者年龄与癌变的关系。结果该68例患者检出息肉104枚,单发36例、多发32例。息肉主要位于乙状结肠,占比42.31%;息肉直径0.2-4.1cm,平均(1.45±0.34)cm;病变均为隆起型,有蒂3.85%、亚蒂11.54%、无蒂84.62%。在病理类型上,炎症18.27%、增生性息肉32.69%、腺瘤性息肉49.04%(包括:管状腺瘤80.39%、管状绒毛状13.73%、绒毛状5.88%);该次息肉中高级别上皮内瘤变及早癌7枚,占比6.73%(7/104),均发生于腺瘤性息肉。息肉直径>1cm组高级别上皮内瘤变及早癌率31.58%,高于≤1cm组的1.18%(P<0.05);年龄≥40岁组高级别上皮内瘤变及早癌率18.75%,高于<40岁组的1.39%(P<0.05)。结论结肠息肉好发于乙状结肠,普遍为隆起无蒂,大小不一,腺瘤性息肉占比高,对直径>1cm、年龄≥40岁的患者应警惕存在高级别上皮内瘤变及早癌风险。Objective To explore the endoscopic findings and pathological results of colon polyps.Methods 68 patients with colon polyps were admitted to Beijing Nuclear Industry Hospital from January 2023 to January 2024,all of which were subjected to endoscopic examination and pathological diagnosis,endoscopic features such as lesion location,size and morphology,and the relationship between pathological type,cancer condition,polyp size,patient age and cancer were analyzed.Results 104 polyps were detected in 68 patients,36 single and 32 multiple.The polyps were mainly located in the sigmoid colon,accounting for 42.31%;their diameter was 0.2 to 4.1(1.45±0.34)cm;all lesions were raised,with pedicle 3.85%,subpedicle 11.54%and no pedicle 84.62%.In terms of pathological types,inflammation was 18.27%,hyperplastic polyps 32.69%,and adenomatous polyps 49.04%(including:tubular adenoma 80.39%,tubular villous 13.73%,villous 5.88%);7 advanced intraepithelial neoplasia,accounting for 6.73%(7/104),all occurred in adenomatous polyps.The early cancer rate of high-grade intraepithelial neoplasia in the group with polyps diameter>1cm was 31.58%,higher than 1.18%in 1cm(P<0.05);the early cancer rate of high-grade intraepithelial neoplasia in age group 40 was 18.75%,higher than 1.39%in<40 years(P<0.05).Conclusion Colonic polyps occur in the sigmoid colon,are generally unraised,different in size,and have a high proportion of adenomatous polyposis.The patients with diameter>1cm and age 40 years should be alert to the early risk of high-grade intraepithelial neoplasia.

关 键 词：结肠息肉 内镜表现 病理结果 年龄 息肉直径 形态特征 

分 类 号：R574.62[医药卫生—消化系统]