上消化道息肉108例内镜诊治与病理结果分析.docVIP

精品论文 参考文献 上消化道息肉108例内镜诊治与病理结果分析 刘东升 　　（安徽省池州市第二人民医院消化内科 247000） 　　【摘要】目的 探讨内镜下上消化道息肉分布、病理特点和内镜治疗方法。方法 回顾性分析经内镜高频电凝电切术、钳除术治疗的108 例上消化道息肉患者的有关资料及其病理结果。结果 上消化道息肉所占比例随年龄增长渐增，40岁以上者96例占88.89%；食管息肉占上消化道息肉的5.63%，胃息肉占上消化道息肉的84.51% ，十二指肠息肉占上消化道息肉的9.86%。腺瘤性占16.20%，炎性者占66.19%增生性占17.61%。结论 上消化道息肉多见于胃，炎性者为主，恶变者主要为腺瘤性，定期内镜检查治疗是预防其癌变的有效措施。 　　【关键词】上消化道 息肉 治疗 病理 　　【中图分类号】R573 【文献标识码】A 【文章编号】2095-1752（2014）02-0133-02 　　Upper gastrointestinal polyp 108 cases of endoscopic treatment and pathological results analysis 　　Liu Dongsheng 　　digestion Department of internal medicine, Chizhou Second Peoples Hospital of Anhui province 247000 　　【Abstract】 Objective To investigate the effect of endoscopic gastrointestinal polyp distribution, pathological characteristics and endoscopic treatmen method. method analysis of endoscopic electrotomy withhigh-frequency electrocoagulation, forceps in treatment of 108 cases of upper gastrointestinal polyp were treated by the relevant data and pathological results review. results of upper gastrointestinal polyp proportion increasing along with the age growth, above 40 years old in 96 cases accounted for 88.89%; esophageal polyps upper digestive tract polyps accounted for 5.63%, gastric polyps upper digestive tract polyps accounted for 84.51%,Duodenal polyps upper digestive tract polyps accounted for 9.86%. Adenomatous accounts for 16.20%, inflammatory accounted for 66.19%; proliferative accounted for 17.61%. Tract polyps found in the stomach. Conclusion on the main digestive, inflammatory, malignant transformation mainly adenomatous, regular endoscopic therapy is an effective measure to prevent the canceration. 　　【Key words】 upper gastrointestinal polyps Pathology treatment 　　消化道粘膜局限性隆起并向腔内突起的病变统称息肉，上消化道息肉指单发性或多发性粘膜隆起,病变局限在粘膜、粘膜下层,临床表现缺乏特异性,主要症状为上腹疼痛、腹胀等,是一种常见的良性肿瘤。一般分为非肿瘤性息肉和肿瘤性息肉，前者包括炎性息肉、增生性息肉、异位性息肉和错构瘤性息肉等，后者指腺瘤性息肉包括管状腺瘤和绒状腺瘤。近年来，随着消化内镜诊疗技术的不断发展与成熟，消化道息肉内镜下治疗已成为消化科医师的常规技能，这对消