内镜治疗111例胃息肉的临床病理特征分析

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1、中英文缩略词对照表英文缩写英文全名中文译名EMREndoscopicmucosalresection11内镜下黏膜切除术ESDEndoscopicsubmucosal1

2、哈尔•司马义副教授/副主任医师目的：了解胃镜下胃息肉的临床和病理特点，为胃息肉的临床诊断及治疗提供客观依据。方法：对2010年1月〜2013年1月新疆医科大学第一附属医院检出的111例胃息肉患者的内镜、病理资料和手术情况进行回顾性分析。结果：本组老年患者（260岁）为胃息肉高发人群（56.8%）；单发性息肉80例（72.1%）,多发性息肉31例（27.9%）；息肉主要位于胃体（53.2%）；息肉直径＜0.5cm多见（69.4%）；息肉类型主要为增牛性息肉（40.5%）和炎性息肉37例（33.3%）。息肉以活检钳钳除3

3、0例，内镜黏膜下注射0.9%NaCl溶液联合高频电切摘除54例，内镜下黏膜切除术（EMR）治疗6例，内镜黏膜下剥离术（ESD）治疗4例，余17例行外科手术治疗,12例患者接受随访，其中2例复发。结论：胃息肉直径较小，多为单发；息肉主要位于胃体，以增生性息肉为主；治疗方式多选择内镜下切除，息肉切除后有复发可能性，应加强随访。关键词：胃镜检查，息肉，治疗，回顾性研究ClinicopathologicalCharacteristicsofGastricPolyps:AAnalysisof111CasesPostgradua

4、te:FengzhiSupervisor:ProLGulibahaer*SIMAYIAbstractObjective:Toinvestigatetheclinicalandpathologicalcharacteristicsofgastricpolypsunderendoscopy.toprovidetheclinicalbasisforthediagnosisandtreatmentofgastricpolyps.Methods:Atotalof111casesofpatientswithgastricpoly

5、psfromJanuary2011toJanuary2013atTheFirstAffiliatedHospitalofXinjiangMedicalUniversitywereenrolled,andendoscopic,pathologicalandsurgicaldatawereretrospectivelyanalyzed・Results:Inthisstudy,agedpatients(260years)washigh-riskpopulationofgastricpolyps(56.8%);80(72.1

6、%)casesweresinglepolypand31(27.9%)casesweremultipleones;mostgastricpolyps(53.2%)werelocatedingastricbody;diameterW0.5cmwasseenin69.4%ofgastricpolyps;hyperplasticpolyps(40.5%)andinflammatorypolyps(333%)werethepredominantgastricpolyps.Thirtygastricpolyppatientswe

7、reresectedbybiopsyforcepsclamp,54byendoscopicsubmucosalinjectionwith0.9%NaClsolutioncombinedwithhighfrequencyelectricremoval,6byEMRand4byESD,while17patientshadsurgery.Twelvepatientshadfollow-up92ofthemhadrecurrence・Conclusions:Mostgastricpolypsaresinglewithsmal

8、ldiameter,mostlylocateingastricbody,andhyperplasticpolypsarethepredominanttype.Themaintreatmentisendoscopicresection,anditmayrecur,andfollow-upshouldbeemphasized.Keywords:Ga