中国现代医学杂志2018，Vol.28Issue(19)：95-100,6.DOI:10.3969/j.issn.1005-8982.2018.19.018
结直肠锯齿状息肉的临床、内镜及病理特征分析
Analysis of clinical, endoscopic and pathological features of colorectal serrated polyp
张珊妍 1刘岚 1吴洪磊 1辛玉 1肖娟 2朱孔锡 1郭建强1
作者信息
- 1. 山东大学第二医院消化内科,山东 济南 250033
- 2. 山东大学第二医院循证医学中心,山东 济南 250033
- 折叠
摘要
Abstract
Objective To investigate clinical, endoscopic and pathological features of colorectal serrated polyp (SP). Methods Clinical, endoscopic and pathological data of 232 patients with at least one colorectal serrated polyp detected at Endoscopic Center of the Second Hospital of Shandong University from September 2013 to May 2016 were retrospectively analyzed. Endoscopic features of different pathological types of SP were compared by χ2 test. Results In the 232 patients with at least one colorectal serrated polyp, there were 153 males and 79 females, with the age ranging from 18 to 86 y and the mean age of (52.38 ± 12.67) y. There were totally 251 SPs, including 165 hyperplastic polyps (HP, 65.7%), 85 sessile serrated adenomas or polyps (SSA/P, 33.9%), and 1 traditional serrated adenoma (TSA, 0.4%). Significant differences were observed between HP and SSA/P in the location, size and morphology (χ2= 14.68, 37.98 and 74.83, P = 0.000). The proportions of 66 SSA/P with dysplasia and 19 SSA/P without dysplasia in the 85 SSA/P were 77.6% and 22.4%, respectively. A significant difference was observed between the two groups in the morphology (χ2= 5.98, P = 0.015), whereas no significant difference was observed in the location or size (χ2= 0.07 and 1.56, P = 0.932 and 0.211). Conclusions HP and SSA/P have their own endoscopic features, and combination with location, size and morphology of polyps helps to distinguish them. However, with respect to endoscopic features of different pathological types of SSA/P, we still need to enlarge the sample size for further study.关键词
结直肠锯齿状息肉/增生性息肉/无蒂锯齿状腺瘤/息肉/传统锯齿状腺瘤Key words
colorectal serrated polyp/hyperplastic polyp/sessile serrated adenoma or polyp/traditional serrated adenoma分类
医药卫生引用本文复制引用
张珊妍,刘岚,吴洪磊,辛玉,肖娟,朱孔锡,郭建强..结直肠锯齿状息肉的临床、内镜及病理特征分析[J].中国现代医学杂志,2018,28(19):95-100,6.
