首页|锦州地区1853例胃息肉病理特征分析

锦州地区1853例胃息肉病理特征分析

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目的 分析锦州地区1853 例胃息肉患者临床及病理学特征.方法 收集 2021-2022 年于锦州医科大学附属第一医院进行胃镜检查的锦州地区患者15 792 例,将病理证实为胃息肉的 1853 例患者纳入研究,分别对性别、年龄、息肉的数量、最大直径、发病部位、山田分型和病理学组织分型等进行分析.结果 在 1853 例胃息肉患者中,男性 796 例(11.08%),女性1057 例(12.23%),女性的胃息肉检出率高于男性,差异具有统计学意义(P<0.05).不同年龄胃息肉检出率进行比较,41~50 岁组的检出率高于其它组,不同组别之间的发病率比较差异具有统计学意义(P<0.05).不同病理类型的胃息肉特点分析:最常见的病理类型为炎性息肉762 例(41.12%),炎性息肉和腺瘤性息肉以单发为主,增生性息肉和胃底腺息肉以多发为主,不同病理类型之间的单发、多发构成比差异具有统计学意义(P<0.05).腺瘤性息肉的最大直径以>5 mm为主,其余3 种病理类型的最大直径均以≤5 mm为主,不同病理类型之间的≤5 mm组和>5mm组构成比差异具有统计学意义(P<0.05).山田分型中,各种病理类型最常见的分型为山田Ⅱ型,不同病理类型之间的山田分型构成比差异具有统计学意义(P<0.05).各种病理类型最常见的发病部位为胃体,不同病理类型之间的发病部位构成比差异具有统计学意义(P<0.05).结论 本研究锦州地区胃息肉患者中,息肉的检出率与性别、年龄有关,息肉的病理类型与发病数量、最大直径、山田分型及发病部位有关.
An Analysis of Pathological Characteristics of 1,853 Gastric Polyps in Jinzhou Area
Objective To analyze the clinical and pathological characteristics of 1,853 cases of gastric polyps in Jinzhou area.Methods 15,792 patients in Jinzhou area who underwent gastroscopy in the First Affiliated Hospital of Jinzhou Medical University from 2021 to 2022 were collected,and 1853 patients with gastric polyps confirmed by pathology were included in the study.Then,sex,age,number of polyps,maximum diameter,site of onset,Yamada classification and pathological histological classification were analyzed respectively.Results Among1853 cases of gastric polyps,796 cases were male(11.08%)and1057 cases were female(12.23%).The detection rate of gastric polyps in female was higher than that in male,and the difference was statistically significant(P<0.05).The detection rate of gastric polyps in 41-50 group was higher than that in other groups,and there was significant differ-ence between different groups(P<0.05).The characteristics of gastric polyps of different pathological types are analyzed as follows:762 cases(41.12%)of inflammatory polyp were the most common pathological type.Inflammatory polyp and adenomatous polyp were mostly single,hyperplastic polyp and fundic gland polyp were mostly multiple.There were significant differences in the constituent ra-tio of single and multiple among different pathological types(P<0.05).The largest diameter of adenomatous polyps was mainly>5 mm,and the largest diameter of the other three pathological types was mainly≤5 mm.The constituent ratio of≤5 mm group and>5 mm group among different pathological types had statistical significance(P<0.05).Yamada typeⅡwas the most common type among all kinds of pathological types,and there was significant difference in the constituent ratio of Yamada type among different pathological types(P<0.05).Among the four pathologic types,the most common site of onset was the gastric body.The difference in the compo-sition ratio of the site of onset between the different pathologic types was statistically significant(P<0.05).Conclusion In the pa-tients with gastric polyps in Jinzhou area,the detection rate of polyps was related to gender and age,and the pathological type of pol-yps was related to the number,maximum diameter,Yamada type and location of polyps.

gastroscopygastric polypspathologic typeyamada classification

韩遵文、史璇、朱金朋、高飞

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锦州医科大学附属第一医院,辽宁 锦州 121000

北部战区总医院,辽宁 沈阳 110016

内镜 胃息肉 病理类型 山田分型

辽宁省科学技术基金项目

L22BGL027

2024

锦州医科大学学报
辽宁医学院

锦州医科大学学报

影响因子:0.802
ISSN:1674-0424
年,卷(期):2024.45(1)
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