摘要
目的探讨胃息肉临床病理特点和近15年的变化趋势。方法收集1998年至2012年经胃镜检查诊断的胃息肉病例，回顾性分析其性别、年龄和息肉的部位、数目、大小、山田分型、病理学分型，以及H．pylori检测结果。采用卡方检验进行统计学分析。结果62975例行胃镜检查的患者中，发现胃息肉患者2643例，胃息肉检出率为4．20％，女性检出率（5．91％，1790／30269）高于男性（2．61％，853／32706）。≥60岁是胃息肉的高发年龄段，检出率为6．39％（1124／17590）。胃息肉患者的H．pylori阳性率为12．70％（321／2527）。胃体（40．41％，1068／2643）和胃底（26．79％，708／2643）是胃息肉的2个好发部位。69．05％（1825／2643）的患者息肉为单发，74．76％（1976／2643）的患者息肉最大径≤0．5cm，以山田I型（30．68％，811／2643）和Ⅱ型（54．41％，1438／2643）为主。病理学常见类型依次为增生性息肉（43．80％，1109／2532）、炎性息肉（34．24％，867／2532）、胃底腺息肉（19．55％，495／2532）和腺瘤性息肉（2．41％，61／2532）。15年来胃息肉检出率逐年上升，1998年至2002年、2003至2007年和2008至2012年的平均检出率分别为1．11％、2．50％和6．49％，但胃息肉的病理类型构成比变化不大。结论胃息肉检出率逐年升高，高龄女性是高发人群，增生性和炎性息肉仍为常见病理类型。
Objective To investigate the clinical pathological characteristics and pattern changes of gastric polyps in the past 15 years. Methods From 1998 to 2012, the cases of gastric polyps diagnosed by gastroscopy were collected. Data of gender, age, location, number, size, Yamata type, pathological type, Helicobacter pylori （H. pylori） infection were retrospectively analyzed. The data were analyzed by Chi- square test. Results Among 62 975 cases received gastroscopy, gastric polyps were detected in 2 643 patients and the gastric polyps detection rate was 4.20%, which of female （5.91%, 1 790/30 269） was higher than that of male （2.61%, 853/32 706）. And patients aged ≥60 years old has a high prevalence of gastric polyps~ the detection rate was 6.39%（1 124/17 590）. The positive rate of H. pylori infection in patients detected with gastric polyp was 12.70% （321/2 527）. Gastric body （40.41%, 1 068/2 643） and fundus （26.79 %, 708/2 643） were two predilection sites of gastric polyps. About 69.05 % （1 825/2 643） patients＇ polyps were solitary, 74.76%（1 976/2 643） patients~ polyps were less than 0.5 cm in diameter and mainly were Yamata type I （30.68%, 811/2 643） or type Ⅱ （54. 41%, 1 438/2 643）. The common pathological types were hyperplastic polyps （43. 80%, 1 109/2 532）, inflammatory polyps （34.24%, 867/2 532）, fundic-gland polyps （19.55%, 495/2 532） and adenomatous polyps （2.41%, 61/ 2 532）. The detection rate of polyps gradually increased in the past 15 years. Between 1998 to 2002, 2003 to 2007, 2008 to 2012, the average of 5-year detection rates were 1.11%, 2.50% and 6.49%, respectively.However, the proportion of pathological types didnrt change significantly. Conclusions The detection rate of gastric polyps gradually increased year by year, and elderly woman is at high risk. Hyperplastic and inflammatory polyps ware the most common types.
出处
《中华消化杂志》
CAS
CSCD
北大核心
2014年第4期247-250,共4页
Chinese Journal of Digestion
基金
广州市医药卫生科技项目（20131A011008）
关键词
胃息肉
胃镜
病理
Gastric polyps
Gastroscopes
Pathology
