未成年人肠道息肉特征的回顾性研究
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福建医科大学1. 附属协和医院 消化内科,福州350001;2. 研究生院,福州350122

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R730.269

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收稿日期: 2018|06|21基金项目: 福建省临床重点专科(西医类别)建设项目(闽卫科教[2012]149号);福建省医疗“创双高”微创医学中心资助项目(闽卫医政函[2017]171号)作者简介: 郑碧云,女,主治医师,福建医科大学2015级博士研究生通讯作者: 王小众. Email:drwangxz@163.com


Retrospective Study on the Features of Intestinal Polyps in Minors
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1.Department of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou 350001, China;2.Graduate School of Fujian Medical University, Fuzhou 350122, China

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    摘要:

    目的探讨未成年人肠道息肉的临床及内镜特征以及结肠镜诊治的临床价值。方法回顾性分析行肠镜检查并发现肠道息肉的52例未成年人的临床及内镜资料,分为<7岁组、7~14岁组及15~18岁组。结果未成年人肠道息肉多见于<7岁组的男孩,多因便血及腹痛就诊。<7岁组患儿单发、最大径>1.5 cm、位于左半结肠、伴低级别上皮内瘤变息肉较另外两组多见(P<0.05)。息肉切除术后无严重出血、穿孔等并发症。结论未成年人肠道息肉多见于7岁以下男孩,且常为单发、有蒂,息肉多较大,多位于左半结肠,且合并低级别上皮内瘤变比例高。结肠镜可快速明确诊断,内镜下切除息肉是安全、有效的。

    Abstract:

    ObjectiveTo explore the clinical and colonoscopic features of polyps in minor patients and the clinical value of colonoscopy for the diagnosis and treatment of polyps.MethodsThe clinical and colonoscopy data of minor patients with intestinal polyps found in our hospital by colonoscopy were retrospectively analyzed.Patients were divided into less than seven years group, 7|14 years group, and 15|18 years group.ResultsIntestinal polyps of minors were usually found in less than seven years old group and more common in men.Blood in the stool and abdominal pain were the main causes for children to undergo colonoscopy.Polyps in the less than seven years group were more commonly found to be single, larger than 1.5 cm in size, located in the left half colon and with low grade intraepithelial neoplasia than the other two groups (P<0.05).There were no serious complications after polypectomy, such as serious bleeding and perforation.ConclusionIntestinal polyps of minors are usually found in male less than seven years old and are mostly single, pedicled, large in size, mainly located in the left half colon and with high ratio of low grade intraepithelial neoplasia.Intestinal polyps can be diagnosed quickly with colonoscopy and endoscopic polypectomy is safe and effective.

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郑碧云,林清财,黄艳梅,杨沁瑜,陈丰霖,王小众.未成年人肠道息肉特征的回顾性研究[J].福建医科大学学报自然版,2019,(5):348-351

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