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中华养生保健 ›› 2024, Vol. 42 ›› Issue (2): 1-4.

• 论著 •    下一篇

胃底腺息肉与结直肠息肉相关性研究分析

严佳鑫, 李慧*, 杜璇, 王婷   

  1. 南京中医药大学附属中西医结合医院消化科,江苏 南京,210000
  • 出版日期:2024-01-16 发布日期:2024-01-17
  • 通讯作者: *李慧,E-mail:32260890@qq.com。
  • 作者简介:严佳鑫(1999—),女,汉族,籍贯:江苏省南通市,硕士研究生在读,研究方向:消化系统疾病中西医结合治疗。
  • 基金资助:
    社会发展面上项目(BE2022817)

Research on the Relationship between Gastric Fundic Gland Polyps and Colorectal Polyps

YAN Jia-xin, LI Hui*, DU Xuan, WANG Ting   

  1. Department of Gastroenterology, Hospital of Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing Jiangsu, 210000, China
  • Online:2024-01-16 Published:2024-01-17

摘要: 目的 分析胃底腺息肉和结直肠息肉之间的关联性。方法 选取2021年5月—2022年12月在南京中医药大学附属中西医结合医院住院经胃镜及病理确诊为胃底腺息肉,同期行电子结肠镜检查(两项检查间隔不超过半年)的100例患者为病例组,随机选取同期行胃肠镜检查且未发现胃底腺息肉的200例患者为对照组。分析其性别分布、年龄分布、高血脂人数、胃底腺息肉病变部位、数量、直径、结直肠息肉种类、数目、直径、病变部位。结果 病例组结直肠息肉检出率高于对照组,差异有统计学意义(P<0.05)。其中年龄≥45岁胃底腺息肉患者结直肠息肉检出率更高,差异有统计学意义(P<0.05),合并高血脂的胃底腺息肉患者更易患结直肠息肉,差异有统计学意义(P<0.05)。结论 较非胃底腺息肉患者,胃底腺息肉患者患结直肠息肉的可能性更高,年龄≥45岁、高血脂是胃底腺息肉患者合并结直肠息肉的危险因素。

关键词: 胃底腺息肉, 结直肠息肉, 胃肠镜

Abstract: Objective To investigating the relation between fundic glandular polyps and colorectal polyps. Methods One hundred patients who were identified with fundic gland polyps by both gastroscopy and pathology and who underwent colonoscopy at the same time (no more than six months between the two examinations) as a case group and 200 patients who underwent gastroscopy at the same time and did not have fundic gland polyps as a control group were randomly assigned to the study from May 2021 to December 2022 at the Hospital of Combined Traditional Chinese Medicine Affiliated to the Nanjing University of Traditional Chinese Medicine. The gender distribution, age distribution, total cholesterol, triglycerides, location, number and diameter of fundic gland polyps, and type, number, diameters and sites of colorectal polyps were analysed. Results The rate of colorectal polyp detected in the category of cases was higher than that in the control group, and the difference was statistically significant (P<0.05). The percentage of colorectal polyps detected was higher in patients with fundic gland polyps aged ≥45 years (P<0.05), and were more likely to be detected in patients with combined hyperlipidemia (P<0.05). Conclusion Patients with fundic gland polyps are more likely to develop colorectal polyps than those without fundic gland polyps. Age≥45 years and high blood lipids are risk factors for combined colorectal polyps in patients with fundic gland polyps.

Key words: fundic gland polyps, colorectal polyps, gastroenteroscopy

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