摘要
目的了解性别与腺瘤性息肉镜下表现的具体关系。方法选取2017年6月—2019年6月本院收治的153例腺瘤性息肉患者作为研究对象,记录年龄、性别、有无高血压、糖尿病病史、肠镜和病理结果(大小、病理类型、生长方式、部位、数目),应用卡方检验分析性别与腺瘤性息肉的具体关系。结果瘤性息肉患者的性别与糖尿病、高血压没有差异(χ^2=0.37,P>0.05;χ^2=0.19,P>0.05)。性别与息肉大小和有蒂、无蒂方面存在差异性(χ^2=9.16,P<0.05;χ^2=7.57,P<0.05),而与息肉病理类型、部位、数目之间差异不显著(χ^2=0.78,P>0.05;χ^2=1.02,P>0.05;χ^2=1.17,P>0.05)。结论男性微小息肉和无蒂生长息肉多于女性,发病因素也存在差异性,男性危险因素多于女性,因此对于存在高危因素的男性更应常规行肠镜检查,及时镜下发现并治疗息肉,降低癌变率。
Objective To investigate the relationship between sex and microscopic manifestations of adenomatous polyps.Methods From June 2017 to June 2019,153 patients with adenomatous polyps admitted to the third affiliated hospital of Anhui Medical Universitywere enrolled in the study.Age,sex,history of hypertension and diabetes mellitus,colonoscopy and pathological results(size,pathological type,growth pattern,location,number)were recorded.The relationship between sex and adenomatous polyps was analyzed by Chi-square test.Results There were no differences in diabetes mellitus and hypertension between different sex of patients with adenomatous polyps(χ^2=0.37,P>0.05;χ^2=0.19,P>0.05).The differences of Polyp size,the presence of pedicle between different sex were statistically significant(χ^2=9.16,P<0.05;χ^2=7.57,P<0.05).The differences of polyp pathological type,location and number between different sex were not statistically significant(χ^2=0.78,P>0.05;χ^2=1.02,P>0.05;χ^2=1.17,P>0.05).Conclusions Micro-polyps and pedicle-free growth polyps are more common in male patients than in female patients,and the risk factors are also different.Male patients exposed to more risk factors than female.Therefore,for males with high risk factors,colonoscopy should be routinely performed to detect and treat polyps in time,so as to reduce the canceration rate.
作者
胡晓敏
孙全静
彭琼
戴夫
HU Xiao-min(Department of gastroenterology,third affiliated hospital of Anhui Medical University,Ahhui,Hefei,230000,China)
出处
《齐齐哈尔医学院学报》
2019年第22期2831-2833,共3页
Journal of Qiqihar Medical University
关键词
性别
腺瘤性息肉
镜下表现
Sex
Adenomatous polyps
Endoscopic manifestations
