CAJ | 학술논문

目的：分析大肠息肉形态、部位、病理改变等与恶变危险性的关系。方法对空军总医院2011年2月—2012年6月行结肠镜检查的537例患者的资料进行回顾性研究。结果内镜下发现大肠息肉158例，共282枚息肉，其中男121例，女37例，大肠息肉检出率为29.4%。腺瘤性息肉170枚，炎性息肉74枚，未做病理38枚；直径0.5 cm以下占55.3%；位于升结肠19.5%，横结肠20.2%，降结肠11.7%，乙状结肠30.1%，直肠18.4%；随访1年，4例复发，复发率为2.5%。结论大肠息肉以男性多见，腺瘤性为主，直径0.5 cm以下常见，好发部位为左半结肠；患病危险因素包括年龄、部位、息肉大小及病理类型，对所有息肉均应切除并做病理检查。
목적：분석대장식육형태、부위、병리개변등여악변위험성적관계。방법대공군총의원2011년2월—2012년6월행결장경검사적537례환자적자료진행회고성연구。결과내경하발현대장식육158례，공282매식육，기중남121례，녀37례，대장식육검출솔위29.4%。선류성식육170매，염성식육74매，미주병리38매；직경0.5 cm이하점55.3%；위우승결장19.5%，횡결장20.2%，강결장11.7%，을상결장30.1%，직장18.4%；수방1년，4례복발，복발솔위2.5%。결론대장식육이남성다견，선류성위주，직경0.5 cm이하상견，호발부위위좌반결장；환병위험인소포괄년령、부위、식육대소급병리류형，대소유식육균응절제병주병리검사。
ObjectiveAnalysis the relationship of colorectal polyps in morphology, location, pathology changes and risk of malignancyMethodThe clinical data of the 537 patients received colonoscopy in our hospital from February 2011 to June 2012 was retrospectively analyzed.ResultsThere were 158 patients(37 women and 121 men) with 282 colorectal polyps in total. The incidence of colorectal polyps was 29.4%. There were 170 adenomatous polyps, 74 inflammatory polyps, 38 polyps without pathological examination. The diameter less than 0.5cm was 156, accounting for 55.3% of the total. Polyps were located at ascending 19.5%, transverse 20.2%, descending 11.7%, sigmoid 30.1%, and rectum 18.4%. During the follow up of one year, 4 patients relapsed, and relapse rate was 2.5%.ConclusionsThe incident of colorectal polyps is higher in men, and adenomatous polyps and diameter less than 0.5cm were common. The high cancelation of polyps is in the left colon. The risk factors of intestinal polyps include patients'age, polyp's size, location and pathological characteristics. All of the intestinal polyps should be excised and should undergo the pathological examination.