论文部分内容阅读
[目的]探讨不同性别及不同年龄段大肠息肉的发生部位、大小及病理分型等生物学特点。[方法]随机选取我院2010年1月~2016年4月收治的1 000例经电子胃肠镜确诊并行内镜下息肉切除术的患者,根据年龄段分为中青年组(<60岁)与老年组(≥60岁),分析大肠息肉的发生部位、大小及病理分型等生物学特点,在不同性别及不同年龄段的分布情况。[结果]在结肠息肉发生部位上,随着年龄的增大,远端结肠息肉的出现率随之增高,即中青年出现率小于老年出现率,差异有统计学意义(P<0.05);在远端结肠发生率上,老年组高于中青年组,差异有统计学意义(P<0.05);在结肠息肉大小上,中青年组在直径0.5~1.0cm的息肉枚数上明显高于老年组,差异有统计学意义(P<0.05);腺瘤性息肉包含管状腺瘤,2组患者所有病理类型中管状腺瘤的发病率是最高的,2组患者腺瘤性息肉的出现率均明显高于其他病理类型息肉的出现率,但差异无统计学意义(P>0.05);年轻女性结肠息肉的出现率明显低于年老女性,差异有统计学意义(P<0.05),年轻男性结肠息肉的出现率则高于老年男性,差异有统计学意义(P<0.05)。[结论]不同年龄组大肠息肉的临床及病理特点不同,应根据不同的年龄段采取不同的临床诊疗方案。
[Objective] To investigate the biological characteristics of colorectal polyps in different genders and ages. [Methods] A total of 1 000 patients undergoing endoscopic polypectomy by electronic gastrointestinal endoscopy were selected randomly from January 2010 to April 2016 in our hospital. The patients were divided into middle-aged and young patients (<60 years old) And the elderly group (≥60 years old). The biological characteristics, such as the location, size, and pathological type of colorectal polyps were analyzed. The distribution of colorectal polyps in different genders and ages were analyzed. [Result] The incidence of colonic polyps increased with the increase of age in colorectal polyps. The incidence of colorectal polyps was higher than that of old people (P <0.05) The incidence of distal colon in the elderly group was higher than that in the middle-aged group (P <0.05). In the size of colon polyps, the number of polyps in the middle-aged group was significantly higher than that in the aged group , The difference was statistically significant (P <0.05); adenomatous polyps include tubular adenoma, the incidence of tubular adenoma in all pathological types was the highest in the two groups, and the incidence of adenomatous polyps was significantly higher in both groups (P> 0.05). The incidence of colonic polyps in young women was significantly lower than that of the elderly women (P <0.05), while the incidence of polyps in young male The incidence of polyps was higher than the elderly men, the difference was statistically significant (P <0.05). [Conclusion] The colorectal polyps have different clinical and pathological features in different age groups. Different clinical treatment plans should be taken according to different age groups.