2、哈爾?司馬義副教授/副主任醫(yī)師目的：了解胃鏡下胃息肉的臨床和病理特點(diǎn)，為胃息肉的臨床診斷及治療提供客觀依據(jù)。方法：對(duì)2010年1月?2013年1月新疆醫(yī)科大學(xué)第一附屬醫(yī)院檢出的111例胃息肉患者的內(nèi)鏡、病理資料和手術(shù)情況進(jìn)行回顧性分析。結(jié)果：本組老年患者（260歲）為胃息肉高發(fā)人群（56.8%）；單發(fā)性息肉80例（72.1%）,多發(fā)性息肉31例（27.9%）；息肉主要位于胃體（53.2%）；息肉直徑＜0.5cm多見(jiàn)（69.4%）；息肉類型主要為增牛性息肉（40.5%）和炎性息肉37例（33.3%）。息肉以活檢鉗鉗除3
3、0例，內(nèi)鏡黏膜下注射0.9%NaCl溶液聯(lián)合高頻電切摘除54例，內(nèi)鏡下黏膜切除術(shù)（EMR）治療6例，內(nèi)鏡黏膜下剝離術(shù)（ESD）治療4例，余17例行外科手術(shù)治療,12例患者接受隨訪，其中2例復(fù)發(fā)。結(jié)論：胃息肉直徑較小，多為單發(fā)；息肉主要位于胃體，以增生性息肉為主；治療方式多選擇內(nèi)鏡下切除，息肉切除后有復(fù)發(fā)可能性，應(yīng)加強(qiáng)隨訪。關(guān)鍵詞：胃鏡檢查，息肉，治療，回顧性研究ClinicopathologicalCharacteristicsofGastricPolyps:AAnalysisof111CasesPostgradua
4、te:FengzhiSupervisor:ProLGulibahaer*SIMAYIAbstractObjective:Toinvestigatetheclinicalandpathologicalcharacteristicsofgastricpolypsunderendoscopy.toprovidetheclinicalbasisforthediagnosisandtreatmentofgastricpolyps.Methods:Atotalof111casesofpatientswithgastricpoly
5、psfromJanuary2011toJanuary2013atTheFirstAffiliatedHospitalofXinjiangMedicalUniversitywereenrolled,andendoscopic,pathologicalandsurgicaldatawereretrospectivelyanalyzed?Results:Inthisstudy,agedpatients(260years)washigh-riskpopulationofgastricpolyps(56.8%);80(72.1
6、%)casesweresinglepolypand31(27.9%)casesweremultipleones;mostgastricpolyps(53.2%)werelocatedingastricbody;diameterW0.5cmwasseenin69.4%ofgastricpolyps;hyperplasticpolyps(40.5%)andinflammatorypolyps(333%)werethepredominantgastricpolyps.Thirtygastricpolyppatientswe
7、reresectedbybiopsyforcepsclamp,54byendoscopicsubmucosalinjectionwith0.9%NaClsolutioncombinedwithhighfrequencyelectricremoval,6byEMRand4byESD,while17patientshadsurgery.Twelvepatientshadfollow-up92ofthemhadrecurrence?Conclusions:Mostgastricpolypsaresinglewithsmal
8、ldiameter,mostlylocateingastricbody,andhyperplasticpolypsarethepredominanttype.Themaintreatmentisendoscopicresection,anditmayrecur,andfollow-upshouldbeemphasized.Keywords:Ga
