3 836例肠镜检查中肠息肉的临床特点及病理分析

Clinical features and pathologic analysis of 3 836 colorectal polyp cases detected by colonoscopy

  • 摘要: 目的 探讨健康人群中肠息肉发生的年龄、部位、大小及病理分型特点。 方法 回顾性分析我院健康体检中心2010年1月-2011年5月经电子肠镜检出的1 345例肠息肉的检出率、发病年龄、病变部位及病理类型分布情况。 结果 检查人员平均年龄49.2岁,健康中老年人群中肠息肉检出率超过1/3;80%以上的肠息肉集中于横结肠以下的左半结肠;80%以上的肠息肉≤0.5cm;在左半结肠随着部位的降低,腺瘤性息肉比例逐渐减少,而炎性、增生性及恶性息肉比例逐渐增加。 结论 中老年人肠息肉的检出率较高,好发于左半结肠,病理类型以腺瘤性息肉和炎性息肉多见;随着部位的下降,恶性息肉比例增加。

     

    Abstract: Objective To study the occurrence age,location,size and histology of colorectal polyps in healthy people. Methods Rate,occurrence age,location,and histology of colorectal polyps detected by colonoscopy in 1 345 cases admitted to our Physical Examination Center from January 2010 to May 2011 were retrospectively analyzed. Results The average age of examiners was 49.2 years.The incidence of colorectal polyps in middle-and old-aged healthy people was over 33%.Over 80% of colorectal polyps were located in the left colon and were ≤ 0.5cm in size.The number of adenomatoid polyps in the left colon gradually decreased while the number of inflammatory,proliferative,and malignant polyps increased with the descending of the left colon. Conclusion The incidence of colorectal polyps is high in middle-and old-aged people.Colorectal polyp usually occurs in the left colon.Adenomatoid and inflammatory polyps are the common histology types.The incidence of malignant polyps increases with the descending of left colon.

     

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