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不同年龄段结肠息肉患者的内镜检查结果及病理特征分析

王征球 杨晓军 龚建涛 陆培华

西北国防医学杂志2017,Vol.38Issue(10):663-667,5.
西北国防医学杂志2017,Vol.38Issue(10):663-667,5.DOI:10.16021/j.cnki.1007-8622.2017.10.009

不同年龄段结肠息肉患者的内镜检查结果及病理特征分析

Endoscopic examination and pathological features of patients with colonic polyps in different ages

王征球 1杨晓军 1龚建涛 1陆培华2

作者信息

  • 1. 无锡市锡山人民医院消化科,江苏无锡214011
  • 2. 无锡市人民医院肿瘤科
  • 折叠

摘要

Abstract

Objective:To analyze the endoscopic examination and pathologic features of colonic polyps in different age groups.Methods:A total of 500 patients with colonic polyps were enrolled in this study from August 2015 to February 2017.All patients were divided into 20-29 years old group,30-39 years old group,40-49 years old group,50-59 years old group,60-69 years old group,≥70 years old group.The detection rate of colonic polyps in different age groups,pathological type of colonic polyps,Yamagata type,size and occurrence site were compared.Results:A total of 2 242 patients underwent endoscopic ultrasonography and histopathological examination.The detection rate of colonic polyps was found to be 22.30% in 500 patients.The detection rate of colonic polyps was gradually increased with age.The pathological types of colonic polyps in different age groups were mainly adenomatous polyps,and with the increase of age,the proportion of adenoma polyps gradually increased.There was no significant difference in the detection rate of cancer among different age groups (P>0.05).The detection rate of type] was higher than that of 20-59 years old group,and the detection rate of type Ⅲ was lower than that of 20-59 years old group,the difference was statisticallysignificant (P<0.05).The size of colonic polyps in different age groups was mainly <0.5 cm,followed by 0.5-1.0 cm.There was no significant difference in colonic polyps between different age groups (P>0.05).The incidence of colorectal polyps in different age groups was mainly rectum,and the detection rate of rectal parts and polyps was gradually increased with age.The detection rate of polyps was higher in >50 years old group than that in 20-49 years old group,the differences were statistically significant (P < 0.05).Conclusion:The detection rate,pathological type,classification and occurrence of colonic polyps are significantly correlated with age.The risk of colorectal polyps has no obvious correlation with age.Specific diagnosis and treatment measures should be taken according to clinical characteristics of colorectal polyps in different ages.

关键词

结肠息肉/年龄/内镜检查/病理特征

Key words

colonic polyps/age/endoscopic examination/pathologic features

分类

医药卫生

引用本文复制引用

王征球,杨晓军,龚建涛,陆培华..不同年龄段结肠息肉患者的内镜检查结果及病理特征分析[J].西北国防医学杂志,2017,38(10):663-667,5.

基金项目

国家自然科学基金资助项目(81472305) (81472305)

西北国防医学杂志

1007-8622

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