新疆地区结肠息肉问题初探

Lamia Jarallah Yaseen
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摘要

对AL-Hussain教学医院2007- 2011年间1538例结肠镜检查中诊断为结肠息肉的82例患者进行了描述性研究。结肠息肉的发生率为5.3%。在研究的82例患者中,男性占67%,女性占33%。平均年龄42.5岁(范围4-81岁)。非肿瘤性息肉多见于20岁以下,而20岁以上的息肉多为肿瘤性。直肠出血(50%)是最常见的症状,其次是腹痛(25.6%)。肿瘤性息肉占80.5%,非肿瘤性息肉仅占19.5%。大多数非肿瘤性息肉发生在直肠,而乙状结肠息肉多为肿瘤性。在腺瘤性息肉中,管状腺瘤(71.2%)是最常见的类型,绒毛状腺瘤(27.3%),锯齿状腺瘤是最不常见的类型(1.5%)。低度发育不良占68.2%,中度发育不良占28.8%,高度发育不良占3%。结论1。与其他邻国(沙特阿拉伯和土耳其)和其他国家(如美国)相比,我们当地的息肉发病率较低。本区大多数肿瘤性息肉为低危性息肉(管状伴低级别发育不良)3。我们的研究与我省第6例结直肠癌的研究(不常见)一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Glimpse on the Colonic Polyps' Problem in Thi-Qar
A descriptive study was performed on 82 patients diagnosed as colonic polyps out of 1538 colonoscopy done at AL-Hussain Teaching Hospital between 2007-201. The incidence of colonic polyps is (5.3%). Among 82 studied patients ( 67 % ) were males and (33 %) were females. Average age was 42.5 years (range 4-81 years). Nonneoplatic polyps were more prevalent under age of 20 years while above 20 years most polyps were neoplastic. Bleeding per rectum (50 %) was the most frequent symptom followed by abdominal pain (25.6 %).Neoplastic polyps were (80.5 % ) out of the total while the non-neoplatic represent only (19.5 %.). Most non-neoplatic polyps had been encountered in the rectum while polyps in the sigmoid were mostly neoplastic. Among adenomatous polyps, tubular adenoma (71.2 %) were the most frequent type, villous adenoma (27.3%) while serrated adenoma is the least common type (1.5%). Low grade dysplasia was found in (68.2% ) of adenomatous polyps while (28.8 %) and (3%) were of moderate and high grade dysplasia respectively. Conclusion 1. The incidence of polyps is lower in our locality compare to other neighboring countries (Saudia Arabia and Turkiy) and others like USA 2. Most neoplastic polyps in our locality were low risk polyps (tubular with low grade dysplasia) 3. Our study is in consist with study of colorectal carcinoma in our province being the 6 th one (not common).
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