CAJ | 학술논문

目的：探讨结直肠锯齿状腺瘤（ SA ）的内镜表现及病理学特征。方法：收集分析本院内窥镜室2009年1月至2013年12月所有接受结肠镜并经病理证实的SA 48例。结果：48例患者共检出SA90枚，其中37枚为扁平型，53枚为隆起型；SA常见于乙状结肠及直肠。病理学轻度异型增生72枚，中度10枚，重度8枚，其中6枚癌变。大于或等于10mm SA 较10mm以下的SA异型程度重（ P＜0．05）。结论：大肠SA内镜下表现无特异性，具有一定的癌变率，应早期发现、早期诊断，早期治疗。
목적：탐토결직장거치상선류（ SA ）적내경표현급병이학특정。방법：수집분석본원내규경실2009년1월지2013년12월소유접수결장경병경병리증실적SA 48례。결과：48례환자공검출SA90매，기중37매위편평형，53매위륭기형；SA상견우을상결장급직장。병이학경도이형증생72매，중도10매，중도8매，기중6매암변。대우혹등우10mm SA 교10mm이하적SA이형정도중（ P＜0．05）。결론：대장SA내경하표현무특이성，구유일정적암변솔，응조기발현、조기진단，조기치료。
Objective:To explore the endoscopy and histopathological morphology of colorectal serrated adenomas ( SA ) .Method:48 SA patients diagnosed by endoscopiy and pathology in Chengde Central Hospi -tal from January 2009 to December 2013 were analyzed respectively .Result:90 SA were detected from 48 patients, 37 cases of flat, 53 cases of uplift.SA was frequently located in the sigmiod colon and rectum . There were pathology mild dysplasia 72 cases,moderate dysplasia 10 cases,sevee dysplasia 8( cancertionfoci 6 cases).The dysplasia of SA≥10 mm was significantly worse than that of SA <10 mm ( P<0.05).Conclu-sion:The SA not only have endoscopy specificity ,but also have certain canceration rate .We shoud early dis-covery, early diagnosis, early treatment.