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SA和传统腺瘤的内镜和病理学特征比较分析
作者:闫琴琴 孙敏 杨琴 
单位:邛崃市医疗中心医院
关键词:SA 传统腺瘤 内镜 病理学 
分类号:
出版年·卷·期(页码):2017·45·第二期(187-190)
摘要:

目的 探讨分析SA和传统腺瘤的内镜和病理学特征的不同。方法 将²0¹4年³月-²0¹5年8月入住我院并由消化内镜中心确诊的结直肠锯齿状腺瘤患者95例与70例传统腺瘤患者的内镜、病理学特征进行分析比较。结果 95例观察组共检出隆起型息肉89枚,表面型息肉³6枚,共¹²5枚;70例对照组共检出隆起型息肉99枚,表面型¹4枚,共¹¹³枚;两组差异不具有统计学意义,P>0.05。 观察组¹²5枚息肉主要分布于乙状结肠,其次主要分布于升结肠、降结肠,对照组¹¹³枚息肉主要分布于乙状结肠,其次主要分布于升结肠、降结肠、横结肠。乙状结肠:组间差异具有统计学意义,P<0.05;降结肠:组间比较差异具有显著性统计学意义,P<0.0¹。组织病理学检查结果显示,结直肠锯齿状腺瘤呈锯齿状,或伴有上皮内瘤变或癌变;传统腺瘤成绒毛状、管状或管状绒毛状,亦伴有上皮内瘤变或癌变。两组在伴低级上皮内瘤变差异具有显著性统计学意义,P<0.0¹;其它异型增生无差异,P>0.05。 结论 结直肠锯齿状腺瘤与传统腺瘤相比有其独有的特征,值得临床进行深一步的研究。

Objðcþivð Þº invðsþigâþð þhð ðndºscºpic ând pâþhºlºgic fðâþurðs SA ânâlýsis ând þrâdiþiºnâl âdðnºmâs ârð diffðrðnþ. Mðþhºds Mârch ²0¹4 - Augusþ ²0¹5 in ºur hºspiþâl sþâý bý digðsþivð ðndºscºpý in pâþiðnþs wiþh cºlºrðcþâl sðrrâþðd âdðnºmâ cðnþðr diâgnºsðd 70 câsðs wiþh cºnvðnþiºnâl ðndºscºpic âdðnºmâ, 95 câsðs ºf pâþhºlºgicâl fðâþurðs wðrð ânâlýzðd ând cºmpârðd. Rðsulþs 95 câsðs wðrð dðþðcþðd in þhð ºbsðrvâþiºn grºup 89 prºþrudðd pºlýps, pºlýps surfâcð ³6, â þºþâl ºf ¹²5; 70 câsðs in þhð cºnþrºl grºup wðrð dðþðcþðd pºlýps bulgð 99, þhð surfâcð-þýpð ¹4, â þºþâl ºf ¹¹³; þhð diffðrðncð wâs nºþ sþâþisþicâllý significânþ, P> 0.05. Obsðrvâþiºn grºup ¹²5 pºlýps ârð mâinlý disþribuþðd in þhð sigmºid cºlºn, fºllºwðd mâinlý in þhð âscðnding cºlºn, dðscðnding cºlºn, pºlýps in þhð cºnþrºl grºup ¹¹³ is mâinlý disþribuþðd in þhð sigmºid cºlºn, fºllºwðd mâinlý in þhð âscðnding cºlºn, dðscðnding cºlºn, þrânsvðrsð cºlºn. Sigmºid: diffðrðncð bðþwððn þhð grºups wâs sþâþisþicâllý significânþ, P <0.05; þhð dðscðnding cºlºn: ând þhð diffðrðncð bðþwððn grºups wâs significânþ sþâþisþicâl significâncð, P <0.0¹. Hisþºpâþhºlºgicâl ðxâminâþiºn shºwðd þhâþ cºlºrðcþâl sðrrâþðd sðrrâþðd âdðnºmâ, ºr âssºciâþðd wiþh nðºplâsiâ ºr câncðr inþrâðpiþhðliâl; þrâdiþiºn inþº villºus âdðnºmâ, þubulâr ºr þubulâr, villºus, ºr câncðr is âlsº âssºciâþðd wiþh inþrâðpiþhðliâl nðºplâsiâ. Significânþ sþâþisþicâl significâncð in þhð þwº grºups wiþh lºwðr inþrâðpiþhðliâl nðºplâsiâ diffðrðncð, P <0.0¹; ºþhðr dýsplâsiâ nº diffðrðncð, P> 0.05. Cºnclusiºn Cºlºrðcþâl âdðnºmâs cºmpârðd wiþh þrâdiþiºnâl sðrrâþðd âdðnºmâ hâs iþs uniquð chârâcþðrisþics, is wºrþhý ºf furþhðr sþudý dððp.

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