摘要
胃息肉是常见的癌前疾病。随着近年来对各类型胃息肉特点的深入研究,发现仅1.7%的胃息肉存在异型增生和癌变,且绝大多数异型增生和癌变存在于直径>1 cm的息肉。传统的观念建议发现胃息肉即予切除,但常规切除所有息肉会加重患者经济负担。目前对不同病理类型以及直径较小的胃息肉是否需要内镜治疗存在争议。
Gastric polyps are common precancerous diseases.With the intensive study on the characteristics of different types of gastric polyps in recent years,only 1.7%of the gastric polyps were found to have dysplasia and cancer,and most of the dysplasia and cancer were found in polyps larger than 1 cm.Traditional idea suggests that polyps should be removed immediately,but routine removal of all polyps results in an increased financial burden on patients.At present,there are controversies about whether endoscopic treatment is necessary for different pathological types and small gastric polyps.
作者
覃姝媚
徐杨
QIN Shumei;XU Yang(Department of Gastroenterology,Second Xiangya Hospital,Central South University,Changsha 410011,China)
出处
《中南大学学报(医学版)》
CAS
CSCD
北大核心
2020年第1期74-78,共5页
Journal of Central South University :Medical Science
关键词
胃息肉
病理分型
治疗策略
随访策略
gastric polyps
pathological classification
treatment strategies
follow-up strategies