摘要
[目的]分析胃息肉的病理流行病学特点及其病情进展的影响因素。[方法]回顾性分析2015年1月~2016年12月接诊的80例胃息肉患者的临床资料,分析患者的病理流行病学特点,以腺瘤性息肉定义为病情进展,采用单因素方差分析和多因素Logistic回归分析影响病情进展的因素,使用受试者工作特征曲线(ROC)下面积(AUC)评价相关因素对胃息肉病情进展的预测效能。[结果]80例胃息肉患者中,女性占比明显高于男性,>40岁是胃息肉的高发年龄段;息肉主要位于胃窦(42.50%)和胃体(32.50%),息肉直径主要≤1.0 cm(87.50%);息肉病理类型主要为增生性息肉(57.50%)和炎性息肉(32.50%);经多因素Logistic回归分析,年龄>40岁、息肉直径>1.0 cm均是胃息肉病情进展的独立危险因素(P<0.05);经Peason相关性分析,胃息肉患者年龄与息肉直径呈正相关(P<0.05);经ROC曲线分析,胃息肉患者年龄联合息肉直径预测病情进展的AUC为0.937。[结论]中老年女性是胃息肉的高发人群,息肉直径较小,主要位于胃窦和胃体;息肉类型以增生性息肉和炎性息肉为主;年龄>40岁和息肉直径>1.0 cm的患者病情进展风险较大,值得临床予以重视。
[Objective]To analyze the pathological characteristics of gastric polyps and the influencing factors of disease progression.[Methods]The clinical data of 80 patients with gastric polyps admitted to our hospital from January 2015 to December 2016 were retrospectively analyzed,the general conditions,endoscopic examination results,and pathological types of polyps were analyzed,the definition of adenomatous polyps was The progression of the disease was analyzed by one-way ANOVA and multi-factor Logistic regression to analyze the influencing factors of the progression of the disease,the area under the operating characteristic curve(ROC)of the receiver was used to evaluate the predictive power of the relevant factors for the progression of gastric polyps.[Results]Among the 80 patients with gastric polyps in this group,the proportion of women is significantly higher than that of men,and>40 years old is the age group with high incidence of gastric polyps;polyps are mainly located in the gastric antrum(42.50%)and gastric body(32.50%),the diameter of the polyp is Mainly≤1.0 cm(87.50%);the pathological types of polyps are mainly hyperplastic polyps(57.50%)and inflammatory polyps(32.50%);after multivariate logistic regression analysis,age>40 years old and polyp diameter>1.0 cm are all stomachs Independent risk factors for polyp disease progression(P<0.05);Peason correlation analysis showed that the age of gastric polyps patients was positively correlated with polyp diameter(P<0.05);ROC curve analysis showed that the age of gastric polyps patients combined with polyp diameter predicts disease progression AUC is 0.937.[Conclusion]Middle-aged and elderly women are a high incidence group of gastric polyps,most of them are small in diameter under gastroscopy,they are mainly located in the antrum and gastric body,in the type of polyps,proliferative polyps and inflammatory polyps are the main types,patients with polyp diameter>1.0 cm and multiple polyps have a greater risk of disease progression,which deserves clinical attention.
作者
刘静
余海
LIU Jing;YU Hai(Department of Gastroenterology,Tongling People’s Hospital,Tongling 244000,China)
出处
《中国中西医结合消化杂志》
CAS
2020年第11期832-836,共5页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
关键词
胃息肉
流行病学
病情进展
影响因素
胃镜
gastric polyps
pathological features
disease progression
influencing factors
gastroscopy
