胃息肉临床诊治研究进展

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。

Progress in clinical diagnosis and treatment for gastric polyps

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.