儿童结肠息肉临床诊治分析

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1、)L童结肠息肉临床诊治分析王洋金忠芹武庆斌苏州大学附属儿童医院江苏省泰兴市人民医院摘要：目的分析儿童结肠息肉的临床特点、影响因素、镜下息肉形态及组织病理特点。方法冋顾分析经电子肠镜检查确诊并行镜下息肉摘除术的193例结肠息肉住院患儿的临床资料。结果193例患儿屮，男131例，女62例，平均年龄(4.61±2.16)岁。病程最短平均(7.29±8.30)个月(1周4年)。结肠息肉以便血(98.97%)、腹痛(17.10%)、肛门肿物突出(13.47%)为主要临床表现。193例患儿共发现结肠息肉197枚;其中4例各有2枚息肉，其余均为单发息肉。左

2、侧结肠息肉188枚(95.43%),右侧结肠息肉仅9枚(4.57%)。巨大息肉(>1.5cm)61枚(30.96%),大息肉(0.61.5cm)119枚(60.40%),小息肉(^0.5cm)17枚(8.63%)，按息肉大小分组，三组患儿的年龄、性别及病程长短差异无统计学意义(P〉0.05)。息肉病理类型以错构瘤性息肉为主，占98.69%,炎性息肉仅占1.31%,未见腺瘤性息肉及恶变性息肉。结论便血、腹痛和肛门肿物突出是儿童结肠息肉的最主要的临床表现;结肠息肉对患儿营养状况及生长发育影响不大;便秘及过敏性疾病可能是结肠息肉发展的影响因素;结肠

3、息肉的大小与患儿年龄、性别及病程长短等因素无密切关联。关键词：结肠息肉;临床表现;儿童;作者简介：金忠芹，电子信箱：sunyu0628@126.com收稿曰期:2017-03-14AnalysisofdiagnosisandtreatmentofchildhoodcolonicpolypsWANGYangJINZhongqinWUQingbinChildren’sHospitalofSoochowUniversity;Abstract：ObjectiveToanalyzetheinfluencefactorsofpathogenesis,cl

4、inicalmanifestations,microscopicmorphologyandhistopathologyinchildrenwithcolonicpolyps.Methods193casesofcolonicpolypswerecollectedinthechildren’shospitaiofSoochowUniversityduringtheperiodofJuly2010toJuly2015.Accordingtothelengthofthecourse,allcasesweredividedintotwogroups:s

5、hort-termgroup(6monthsorless)，long-termgroup(>6months).ResultsTherewere131boysand62girls.Theaverageagewas4.61+2.16yearsold.Theaveragediseasedurationwas7.29+8.30months(oneweekto4years).Therewasnosignificantdifferencebetweenthetwogroupsintherateofunderweightandanemia,thelevel

6、ofhemoglobin,serumalbuminandpre-albumin(P>0.05);Themainclinicalmanifestationincludedhematochezia(98.7%)，abdominalpain(17.10%)andprotrudingtumor(13.47%);Thecolonoscopyfound197polyps,inwhich189weresinglepolyp(95.94%),and8weremultiplepolyps(4.06%).Ninepolyps(4.57%)wereintherig

7、htcolon，and188polyps(95.43%)intheleftcolon.Allofthepolypsweredividedinto3groups:hugepolypsgroup(>1.5cm)，largepolypsgroup(0.51.5cm)，andsmallpolypsgroup(<0.5cm).Therewere17casesfoundwithsmallpolyps(8.63%)，119caseswithlargepolyps(60.40%)，and61caseswithhugepolyps(30.96%).Betwee

8、nthethreegroups,therewasnosignificantdifferenceinage,gender,anddurationofthediseas