不同病理类型胃息肉患者Hp感染情况及胃、结直肠息肉之间的相关性

发布时间：2018-06-23 05:01

本文选题：胃息肉 + 幽门螺杆菌　；参考：《山东医药》2015年37期

【摘要】：目的探讨不同病理类型胃息肉患者Hp感染情况以及胃、结直肠息肉之间的关系。方法 1 316例患者均接受胃镜检查,对175例胃息肉患者进行幽门螺杆菌(Hp)检测,分析不同病理类型胃息肉患者Hp感染情况;对170例胃息肉患者(观察组)行电子结肠镜检查,取同期行结肠镜检查的506例患者作为对照组,比较其结直肠息肉的发生率。结果 175例胃息肉患者中,炎性息肉148例,占所有阳性病例的84.6%,其次是增生性息肉16例(9.1%)、胃底腺息肉8例(4.6%),腺瘤性息肉3例(1.7%)。胃息肉患者Hp感染阳性率32.6%(57/175),炎性息肉Hp感染率较其他类型明显高,且与增生性息肉比较差异有统计学意义(P0.05)。观察组结直肠息肉检出率显著高于对照组(P0.05),并且结直肠腺瘤性息肉所占比例65.1%(71/109)明显高于对照组29.9%(66/221)(P0.05)。结论胃息肉中炎性息肉最多,炎性息肉Hp感染阳性率高于增生性息肉;胃息肉阳性的患者发生结直肠息肉,尤其是腺瘤性息肉的可能性较大。
[Abstract]:Objective to investigate HP infection in patients with gastric polyps and the relationship between gastric and colorectal polyps. Methods 1,316 patients were examined by gastroscopy, 175 patients with gastric polyps were examined by Helicobacter pylori (HP), and 170 patients with gastric polyps (observation group) were examined by electron colonoscopy. The incidence of colorectal polyps was compared in 506 patients who underwent colonoscopy. Results among 175 cases of gastric polyps, 148 cases were inflammatory polyps, accounting for 84.6% of all positive cases, followed by proliferative polyps in 16 cases (9.1%), gastric fundus polyps in 8 cases (4.6%), adenomatous polyps in 3 cases (1.7%). The positive rate of HP infection in patients with gastric polyps was 32.6% (57 / 175). The HP infection rate of inflammatory polyps was significantly higher than that of other types, and the difference was statistically significant compared with proliferative polyps (P0.05). The detection rate of colorectal polyps in the observation group was significantly higher than that in the control group (P0.05), and the proportion of colorectal adenomatous polyps was 65.1% (71 / 109) significantly higher than that in the control group 29.9% (66 / 221) (P0.05). Conclusion the positive rate of HP infection in inflammatory polyps is higher than that in proliferative polyps, and colorectal polyps, especially adenomatous polyps, are more likely to occur in patients with positive gastric polyps.
【作者单位】：山东省医学科学院;济南大学山东省医学科学院医学与生命科学学院;
【分类号】：R57

【参考文献】