新医学2024，Vol.55Issue(4)：287-291,5.DOI:10.3969/j.issn.0253-9802.2024.04.009
不同分度大肠黑变病伴发息肉的内镜特点分析
Endoscopic characteristics of different grades of melanosis coli complicated with polyps
摘要
Abstract
Objective To investigate the endoscopic characteristics of different grades of melanosis coli(MC)complicated with polyps.Methods Clinical and endoscopic data of 597 patients diagnosed with MC who underwent colonoscopy were retrospectively analyzed.The correlation of different grades of MC with age,gender and intestinal diseases was analyzed.The gender,age,polyp size and pathological type of polyps in patients with different grades of MC were analyzed statistically.Results Polyps were more commonly detected in grade Ⅰ MC than in grade Ⅱ and grade Ⅲ MC.The size of polyps significantly differed among different grades of MC.The detection rate of<0.5 cm polyps in grade Ⅲ MC was 37.50％,significantly lower than 67.11％in grade Ⅰ and 60.18％in grade Ⅱ MC.The detection rate of 0.6-1.0 cm polyps in grade Ⅲ MC was 57.50％,significantly higher than 23.49％in grade Ⅰ and 25.66％in grade Ⅱ MC.The detection rates of hyperplastic polyps and tubular adenoma significantly differed among different grades of MC complicated with polyp(all P<0.05).No statistical significance was observed in the distribution of inflammatory polyp,retention polyp,serrated adenoma and tubular-serrated adenoma among different grades of MC complicated with polyp(all P>0.05).Conclusions Polyps are more commonly detected in grade Ⅰ MC.Polyps of 0.6-1.0 cm in size are more likely to be detected in grade Ⅲ MC.Hyperplastic polyps are more commonly detected in grade Ⅰ MC,whereas tubular adenoma in grade Ⅱ and Ⅲ MC.关键词
大肠黑变病/不同分度/结直肠息肉/管状腺瘤Key words
Melanosis coli/Different grades/Colorectal polyp/Tubular adenoma引用本文复制引用
张雪,秦佳敏,文黎明..不同分度大肠黑变病伴发息肉的内镜特点分析[J].新医学,2024,55(4):287-291,5.基金项目
四川省科技计划项目(2023YFG0262) （2023YFG0262）
2021年四川省医学会科研课题(S21074) （S21074）
