CAJ | 학술논문

目的：分析胃息肉临床、病理学特点，探讨胃息肉内镜下治疗的疗效和安全性。方法：对2010年1月-2013年7月施行内镜下息肉治疗（包括活检钳钳除、高频电凝电切、氩离子凝固术及内镜下黏膜切除术）的118例病例，共162枚息肉进行回顾性分析，对息肉的位置、形态、大小、病理情况、治疗方式以及治疗后的并发症进行分析。结果：162枚息肉分布的部位以胃窦、胃体为主，分别占46．91％、29．63％；息肉的形态主要为山田Ⅰ型和山田Ⅱ型多见，分别为33．95％、29．01％；息肉的大小以0．5～1．0cm的为主，占60．49％；病理类型以炎性息肉和增生型息肉多见，分别占45．68％、37．65％。162枚息肉均予内镜下切除，治疗过程中，21枚采用活检钳钳除，65枚采用圈套电凝电切，51枚采用氩离子凝固术，25枚采用内镜下黏膜切除术，无严重并发症发生。结论：内镜检查是诊断胃息肉的最佳方法，内镜下息肉切除是胃息肉的首选治疗方法，疗效确切，安全性高。
목적：분석위식육림상、병이학특점，탐토위식육내경하치료적료효화안전성。방법：대2010년1월-2013년7월시행내경하식육치료（포괄활검겸겸제、고빈전응전절、아리자응고술급내경하점막절제술）적118례병례，공162매식육진행회고성분석，대식육적위치、형태、대소、병리정황、치료방식이급치료후적병발증진행분석。결과：162매식육분포적부위이위두、위체위주，분별점46．91％、29．63％；식육적형태주요위산전Ⅰ형화산전Ⅱ형다견，분별위33．95％、29．01％；식육적대소이0．5～1．0cm적위주，점60．49％；병리류형이염성식육화증생형식육다견，분별점45．68％、37．65％。162매식육균여내경하절제，치료과정중，21매채용활검겸겸제，65매채용권투전응전절，51매채용아리자응고술，25매채용내경하점막절제술，무엄중병발증발생。결론：내경검사시진단위식육적최가방법，내경하식육절제시위식육적수선치료방법，료효학절，안전성고。
Objective :To analyze the clinical and pathological characteristics of gastric polyps .To explore the efficacy and safety of endoscopic in treatment of gastric polyps .Methods :We analyzed 118 patients treated by endoscopic thera-py(including argon plasma coagulation ,high frequency electrocoagulation ,and endoscopic mucosal resection) from Jan-uary 2010 to July 2013 162 gastric polyps were found among 118 patients .The location ,morphology ,size ,pathological type ,treatment methods and complication were analysed .Results:The location of gastric polyps were in gastric antrum (46 .91% ) and gastric body (29 .63% ) .The main morphology was Yamada type Ⅰ (33 .95% ) and Yamada type Ⅱ(29.01% ) .The size of gastric polyps was the range of 0 .5~1 .0cm ,accounted for 60 .49% .The main pathological type was inflammatory type(45 .68% ) and hyperplasia type(37 .65% ) .118 patients with 162 polyps were successfully trea-ted .21 polyps were clamped with biopsy forceps .65 polyps were cauterized by high frequency electrocoagulation .51 polyps were removed by argon plasma coagulation .25 polyps were treated by endoscopic mucosal resection .There’s no serious complications in this study .Conclusion:Endoscopy is the best way to diagnose gastric polyps .Endoscopic thera-py for gastric polyps is preferred method ,which is effective and safe .