發(fā)布時間：2018-06-01 10:11

  本文選題：結(jié)腸息肉 + 臨床表現(xiàn)��； 參考：《臨床兒科雜志》2017年11期

【摘要】：目的分析兒童結(jié)腸息肉的臨床特點、影響因素、鏡下息肉形態(tài)及組織病理特點。方法回顧分析經(jīng)電子腸鏡檢查確診并行鏡下息肉摘除術(shù)的193例結(jié)腸息肉住院患兒的臨床資料。結(jié)果 193例患兒中,男131例,女62例,平均年齡(4.61±2.16)歲。病程最短平均(7.29±8.30)個月(1周~4年)。結(jié)腸息肉以便血(98.97%)、腹痛(17.10%)、肛門腫物突出(13.47%)為主要臨床表現(xiàn)。193例患兒共發(fā)現(xiàn)結(jié)腸息肉197枚;其中4例各有2枚息肉,其余均為單發(fā)息肉。左側(cè)結(jié)腸息肉188枚(95.43%),右側(cè)結(jié)腸息肉僅9枚(4.57%)。巨大息肉(1.5cm)61枚(30.96%),大息肉(0.6~1.5cm)119枚(60.40%),小息肉(≤0.5 cm)17枚(8.63%),按息肉大小分組,三組患兒的年齡、性別及病程長短差異無統(tǒng)計學(xué)意義(P0.05)。息肉病理類型以錯構(gòu)瘤性息肉為主,占98.69%,炎性息肉僅占1.31%,未見腺瘤性息肉及惡變性息肉。結(jié)論便血、腹痛和肛門腫物突出是兒童結(jié)腸息肉的最主要的臨床表現(xiàn);結(jié)腸息肉對患兒營養(yǎng)狀況及生長發(fā)育影響不大;便秘及過敏性疾病可能是結(jié)腸息肉發(fā)展的影響因素;結(jié)腸息肉的大小與患兒年齡、性別及病程長短等因素?zé)o密切關(guān)聯(lián)。
[Abstract]:Objective to analyze the clinical features, influencing factors, morphologic and histopathological features of colonic polyps in children. Methods the clinical data of 193 hospitalized children with colonic polyps confirmed by endoscopy were analyzed retrospectively. Results there were 131 males and 62 females with an average age of 4.61 鹵2.16 years. The shortest course of disease was 7.29 鹵8.30 months and 1 week to 4 years. Polyps of colon were found in 197 cases, in which 2 polyps were found in 4 cases, 2 polyps were found in each group, and the rest were single polyps. There were 188 colonic polyps on the left side and 9 on the right colon polyps. There was no significant difference in age, sex and course of disease between the three groups according to the size of the large polyps (< 0. 5 cm)17) and the small polyps (鈮，

本文編號：1963813