广州医药2024，Vol.55Issue(2)：127-131,5.DOI:10.3969/j.issn.1000-8535.2024.02.004
近端和远端结直肠无蒂锯齿状病变在临床和内镜的特征研究
Differences in clinical and endoscopic features between proximal and distal colorectal sessile serrated lesions
摘要
Abstract
Objective To explore the differences in clinical and endoscopic characteristics of sessile serrated lesions in the proximal and distal colorectum.Methods The clinical endoscopic data of 103 patients with sessile serrated lesions of the colorectum were retrospectively analyzed.The gender,age and endoscopic features(polyp size,Yamada classification,NICE classification,dilate vessels and the mucus cap)of patients with proximal and distal colorectal sessile serrated lesions were compared retrospectively.Results Compared with distal colorectal sessile serrated lesions,the age of onset of proximal colon sessile serrated lesions was earlier(P=0.014),endoscopic Yamada type 1 polyps were more common(P=0.050),and mucus cap was also an important endoscopic feature of proximal colon sessile serrated lesions(P＜0.001).Conclusions The proximal sessile serrated lesions are flat and hidden under endoscopic examination which are easily missed.Understanding their endoscopic characteristics can help improve the detection rate of the disease.关键词
无蒂锯齿状病变/内镜特征/黏液帽/近端结肠/远端结直肠Key words
sessile serrated lesions/endoscopic features/mucus cap/proximal colon/distal colorectum引用本文复制引用
李鹰飞,聂玉强..近端和远端结直肠无蒂锯齿状病变在临床和内镜的特征研究[J].广州医药,2024,55(2):127-131,5.基金项目
广州市科技计划项目(202102080044) （202102080044）
中央高校基本科研业务费专项资金(2020ZYGXZR024) （2020ZYGXZR024）
