儿童结肠息肉临床诊治分析

发布时间：2018-06-01 10:11

  本文选题：结肠息肉 + 临床表现　； 参考：《临床儿科杂志》2017年11期

【摘要】：目的分析儿童结肠息肉的临床特点、影响因素、镜下息肉形态及组织病理特点。方法回顾分析经电子肠镜检查确诊并行镜下息肉摘除术的193例结肠息肉住院患儿的临床资料。结果 193例患儿中,男131例,女62例,平均年龄(4.61±2.16)岁。病程最短平均(7.29±8.30)个月(1周~4年)。结肠息肉以便血(98.97%)、腹痛(17.10%)、肛门肿物突出(13.47%)为主要临床表现。193例患儿共发现结肠息肉197枚;其中4例各有2枚息肉,其余均为单发息肉。左侧结肠息肉188枚(95.43%),右侧结肠息肉仅9枚(4.57%)。巨大息肉(1.5cm)61枚(30.96%),大息肉(0.6~1.5cm)119枚(60.40%),小息肉(≤0.5 cm)17枚(8.63%),按息肉大小分组,三组患儿的年龄、性别及病程长短差异无统计学意义(P0.05)。息肉病理类型以错构瘤性息肉为主,占98.69%,炎性息肉仅占1.31%,未见腺瘤性息肉及恶变性息肉。结论便血、腹痛和肛门肿物突出是儿童结肠息肉的最主要的临床表现;结肠息肉对患儿营养状况及生长发育影响不大;便秘及过敏性疾病可能是结肠息肉发展的影响因素;结肠息肉的大小与患儿年龄、性别及病程长短等因素无密切关联。
[Abstract]:Objective to analyze the clinical features, influencing factors, morphologic and histopathological features of colonic polyps in children. Methods the clinical data of 193 hospitalized children with colonic polyps confirmed by endoscopy were analyzed retrospectively. Results there were 131 males and 62 females with an average age of 4.61 卤2.16 years. The shortest course of disease was 7.29 卤8.30 months and 1 week to 4 years. Polyps of colon were found in 197 cases, in which 2 polyps were found in 4 cases, 2 polyps were found in each group, and the rest were single polyps. There were 188 colonic polyps on the left side and 9 on the right colon polyps. There was no significant difference in age, sex and course of disease between the three groups according to the size of the large polyps (< 0. 5 cm)17) and the small polyps (鈮，

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