摘要
结直肠息肉是儿童消化道出血的常见病因,近年来,随着肠镜及基因检测技术在儿科应用的增加,对其认识不断地深入。儿童结直肠息肉虽然以幼年性息肉为主,但也存在部分息肉综合征。息肉综合征大多与基因突变有关,息肉切除后易于复发,增加胃肠道肿瘤的风险,需要对其进行规范的随访,但目前国内尚无统一的共识。该文阐述儿童常见结直肠息肉的研究进展,包括流行病学特征、发病机制、临床表现、诊断、治疗、与肿瘤的关联及监测随访。
Colorectal polyps is common cause of gastrointestinal bleeding in children.In recent years,with the increasing application of colonoscopy and genetic testing in pediatrics,the understanding of colorectal polyps has been deepened.Children′s colorectal polyps,although mainly juvenile polyps,have some polyps syndrome.Gene mutation plays an important role in polyps syndrome,which is prone to relapse and malignant in the gastrointestinal tract.We need to follow up regularly,while there is still no consensus in China.Therefore,this paper describes the research progress of common colorectal polyps in children,including epidemiological characteristics,pathogenesis,clinical manifestations,diagnosis,treatment,association with tumors and follow-up.
作者
孙明芳(综述)
陈洁(审校)
Sun Mingfang;Chen Jie(Department of Gastroenterology,The Children′s Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China)
出处
《国际儿科学杂志》
2020年第3期173-176,共4页
International Journal of Pediatrics
关键词
儿童
结直肠息肉
治疗
复发
Children
Colorectal polyps
Treatment
Relapse
