内镜下胃息肉活检与电切术后病理差异的研究

发布时间：2018-07-28 16:06

【摘要】：目的明确胃息肉通过内镜下活检是否可以得到准确的病理结果,并探讨胃息肉的癌变情况。方法回顾性分析2013年1月至2016年6月121例在山西医科大学第一医院消化科行内镜下息肉电切术的患者资料,对比研究内镜下胃息肉活检与电切术后组织的病理差异。结果 121例患者共检出148枚胃息肉,男女比例1∶1.75,平均年龄(55.5±11.0)岁;胃息肉平均大小(0.9±0.4)cm,山田分型中以Ⅱ、Ⅲ型胃息肉多见;胃息肉活检与电切术后的病理学差异率为27.0%,其中148枚胃息肉中有3枚在电切后诊断为息肉癌变,癌变率为2.0%。结论内镜下胃息肉活检与电切术后标本之间的组织学诊断有一定程度的差异。内镜下胃息肉活检并不能代表整个息肉病变,易误诊、漏诊癌变息肉。胃息肉有恶变潜能,虽然腺瘤性息肉恶变多见,但仍不能忽视增生性息肉恶变情况。
[Abstract]:Objective to determine whether endoscopic biopsy of gastric polyps can obtain accurate pathological results and to investigate the carcinogenesis of gastric polyps. Methods from January 2013 to June 2016, 121 patients underwent endoscopic polyp resection in Department of Digestive, first Hospital of Shanxi Medical University, and the pathological differences between endoscopic biopsy and resection of gastric polyps were compared. Results 148 gastric polyps were detected in 121 patients, the ratio of male and female was 1: 1.75 with an average age of (55.5 卤11.0) years, and the mean size of gastric polyps was (0.9 卤0.4) cm. The pathological difference rate between biopsy and electroresection of gastric polyps was 27.0. 3 out of 148 gastric polyps were diagnosed as carcinogenesis of polyps after electroresection, and the canceration rate was 2.0%. Conclusion there is some difference in histological diagnosis between endoscopic gastric polyp biopsy and electroresection. Endoscopic gastric polyp biopsy can not represent the entire polyp lesions, easy to misdiagnose, missed cancer polyp. Gastric polyps have malignant potential, although adenomatous polyps are more malignant, but still can not ignore the malignant transformation of proliferative polyps.
【作者单位】：山西医科大学;山西医科大学第一医院消化科;
【分类号】：R735.2

【相似文献】