摘要
目的胃息肉是临床常见疾病,目前认为与幽门螺杆菌(helicobacter pylori,HP)感染有关,亦会引起恶变,但其具体关系尚不明确。本研究分析HP感染在不同型别胃息肉患者中分布情况及临床特征差异。方法选择2017-01-01-2018-01-31灌南县第一人民医院收治的313例胃息肉患者为研究对象。记录分析增生性息肉、炎性息肉和腺瘤性息肉患者的HP感染情况,对每一种病理胃息肉在不同部位的HP分布情况进行统计分析,并对患者的临床特点进行记录。结果胃镜检查人群8426例,共检出胃息肉507例,检出率为6.0%。收集符合标准313例患者纳入本研究,年龄构成比例以40~60岁为多数,占总数的59.7%;60~80岁年龄占总数的30.3%。313例患者中,88.5%患者胃息肉直径≤1cm;胃体部位胃息肉发生所占比例为47.3%,胃底部位所占比例为27.8%。增生性息肉共181例,所占比例为57.8%;炎性息肉次之,共119例,所占比例为38.0%。增生性息肉感染率为47.5%,炎性息肉为30.2%。增生性息肉位于胃体和胃底的患者133例,所占比例为73.4%,胃体和胃底HP感染率为48.1%;炎性息肉多发于胃体和胃底部位,胃体和胃底HP感染率为37.8%。结论胃息肉多发于中年及老年人群,直径多≤1cm,多发部位为胃体和胃底;增生性息肉占胃息肉的大多数,且HP感染率较高,增生性息肉可能与HP感染有关。
OBJECTIVE Gastric polyp is a common disease in clinic.At present,it is believed that it is related to Helicobacter pylori infection and can cause malignant transformation,but its specific relationship is still unclear.This paper aims to analyze the distribution of Helicobacter pylori(HP)infection in patients with different types of gastric polyps and the clinical characteristics of patients.METHODS A total of 313 patients with gastric polyps admitted to the First People’s Hospital of Guannan County from January 1,2017 to January 31,2018 were selected as the study subjects.The patients were analyzed for hyperplastic polyps,inflammatory polyps,and adenomatous polyps.The relationship between HPinfection and the distribution of HPdistribution in different parts of pathological gastric polyps at different sites,and the clinical characteristics of the patients were recorded,and the results were comprehensively analyzed.RESULTS Totally 8426 cases were examined by gastroscopy.A total of 507 patients with gastric polyps were detected,the detection rate was 6.0%,the age composition ratio was 40-60 years old,accounting for 59.7%of the total,and 60-80 years old patients also accounted for 30.3%.In 88.5%of patients,the diameter of gastric polyps was≤1 cm,the proportion of gastric polyps in the stomach was as high as 47.3%,and the proportion of gastric polyps in the bottom of the stomach was27.8%.There were 181 cases of hyperplastic polyps,accounting for 57.8%,followed by inflammatory polyps,a total of119 cases,accounting for 38.0%.The infection rate of hyperplastic polyps was 47.5%,and that of inflammatory polyps was 30.2%.Proliferative polyps have 133 patients with gastric polyps located in the corpus and stomach,reaching73.4%,the gastric and gastric fundus PHinfection rate reached 48.1%,inflammatory polyps mostly in the stomach and stomach,stomach and stomach The PHinfection rate reached 37.8%.CONCLUSIONS Gastric polyps occur mostly in the middle-aged population of 40-60 years old and 60-80 elderly people.The diameter is more than 1 cm.The gastric polyps are mostly in the stomach and stomach,mostly hyperplastic polyps,and hyperplastic polyps.The high rate of pylori infection may be related to the PHinfection rate.
作者
梁秋
兰鹏
LIANG Qiu;LAN Peng(Department of Gastroenterology,First People's Hospital of Guannan County,Guannan 222500,P.R.China)
出处
《社区医学杂志》
2019年第22期1404-1407,共4页
Journal Of Community Medicine
关键词
幽门螺杆菌
胃息肉
增生性息肉
炎性息肉
腺瘤性息肉
Helicobacter pylori
gastric polyps
hyperplastic polyps
inflammatory polyps
adenomatous polyps
