老年人常见类型胃息肉病理分析内镜观察及治疗.docVIP

老年人常见类型胃息肉病理分析、内镜观察及治疗 朱鸣唐杰杨春敏曹传平 空军总医院消化内科（100142） 朱鸣，女，1969-2-4生，浙江宁波人，2008年军医进修学院医学博士，主治医师，主要从 事消化内科疾病的研究。 作者贡献分布：此课研究耍山朱鸣设计，数据分析及论文写作苗朱鸣完成，牌杰、杨春敏、 曹传平共同完成内镜的检杳及治疗。 通讯作者：朱鸣，主治医师,100142,北京市海淀区阜成路30号,空军总医院消化内科， E-mail:zm669922@163. coni,电话:01066928118-6231 通讯作者：朱鸣，通讯地址：北京市海淀区阜成路30号空军总医院消化内科，100142, Tel: E-mail:zm669922@163. com ZHU Ming, NING Shoubin, BU Xiaohua, CAO Chuanping Department of Gastroenterology, the General Air Force Hospital, Beijing (100142) Correspondence to: ZHU Ming, Email: HYPERLINK mailto:zm669922@163.comzm669922@163.com 摘要 目的：分析老年人胃息肉的内镜、病理特点及进行内镜疗效观察。方法：对2006年7 月1日至2009年7月1日在我院做胃镜检查的2517例老年人次进行回顾性分析，对所发现 的常见类型胃息肉进行内镜下观察，大部分予以内镜下切除，标本送病理检查。对其中27 例进行随访观察，随访时间为6-30月。结果：发现常见类型胃息肉患者120例，检出率为 77%o 59. 17%的胃息肉患者在60-69岁之间,52. 50%为山田II型,57. 50%WO. 5cm。单发息 肉82例(68.33%),多发息肉38例(31.67%)；单发息肉较多见于胃窦部26例(21.67%), 英次为胃底部22例(18. 33%)及胃体部21例(17.50%)。対115例进行病理检杏，英中炎 性增生性息肉、胃底腺息肉、腺瘤性息肉分别占63.33%、25.00%、7.50%。118例给予内镜 下治疗。27例有随访资料，7例复发，其中5例为多发息肉。结论：老年人有较高的胃息肉 检出率，病理上炎性增生性息肉及胃底腺息肉较常见。胃息肉单发多见，多位于胃窦、胃底、 胃休部，多发息肉治疗后可能容易复发。 关键词老年人；胃息肉；内镜；病理；治疗 Pathological analysis, endoscopic therapy and follow-up observation about common type gastric polyp in aged people Aims: To analyze the endoscopic and pathological characteristics of common type gastric polyp in aged people? To observe the effection of endoscopic therapy. Methods: To analyze 2571 cases who underwent gastroscopy in our hospital from 2006-7-1 to 2009-7-1 retrospectively. Common type gastric polyp were observed under gastroscopy and most of them were removed under gastroscopy. The specimens were sent to pathological examination. 27 cases were followed up for 6 to 30 month. Results: 120 cases discovered to be gastric polyp, detection rate was 4.77%? 59.71% patients with gastric polyp were aged between 60-69 years old, 52.50 % of gastric polyp were Yaniata type II, 57.50% of them 0.5 cm. 82 cases( 68.33%) were single, 38 cases (31.67%) were multiple. 26 cases (21.67%) of single polypus were found at antr