临床和内镜特征和220例有状息肉的病例的管理
Quan Lu1, Quan-Zhou Peng2, Li-Sheng Wang1
1Department of Gastroenterology, Shenzhen People's Hospital (the Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China.
Asian journal of surgery
|August 4, 2023
概括
状息肉是结肠直肠癌的前体,表现出不同的临床和内镜特征. 适当的内镜管理是预防进展的关键,尽管检测率仍然很低.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 状息肉是通过状通路被认为是结直肠癌的前体.
- 了解它们的特征和管理对于早期检测和预防至关重要.
研究的目的:
- 评估状多的临床和内镜特征.
- 讨论状息肉的管理策略.
主要方法:
- 从2018年9月到2021年11月,对220个有状息肉病例进行了回顾性分析.
- 数据包括多类型,患者人口统计,位置,大小,形状和内镜去除技术.
主要成果:
- 状状病变 (SSL) 是最常见的类型 (126例),其次是带有发育不良的SSL (25例).
- 虽然大多数患者是50岁以上的男性,而息肉是远端的,但没有发现显著的人口差异.
- 管理因大小而有所不同:冷活检叉子≤5毫米,冷陷6-10毫米,内镜粘膜切除6-20毫米,内镜亚粘膜切割≥20毫米 (P <0.05).
- 主要在SSL患者中观察到并发症 (P<0.05).
结论:
- 临床和内镜特征有助于诊断有状息肉.
- 有效的管理对于预防复发和进展至关重要.
- 低检测率需要大型,前性,多中心的研究,以更好地评估.
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