103例不同年龄组结直肠息肉的临床和病理特征

目的:分析不同年龄组结直肠息肉的临床和病理特征,为阻断息肉癌变进程提供参考.方法:回顾结直肠息肉电切术病例103例资料,按年龄分为青年组(<45岁)、中年组(45~60岁)和老年组(≥60岁),分析结直肠息肉的临床表现、分布部位、病理类型、巨大息肉癌变的不同特点.结果:老年组便血明显高于中年组,中老年组在直乙结肠的息肉分布、腺瘤性息肉数目、巨大息肉癌变均较青年组有明显差异.结论:结直肠息肉的老年患者便血的发生率较高、腺瘤性息肉的数目较多、直乙结肠息肉的发生率较高、巨大息肉癌变较多,故对老年患者应适当放宽结肠镜指证,及时发现并切除息肉,对早期发现结肠癌并阻断其进程意义重大.

Clinical and pathological characteristics of colorectal polyps in different age groups

Objective:Through the analysis of clinical and pathological characteristics of colorectal polyps, to block process of polyp canceration. Methods:103 cases of colorectal polyps were divided into young group (<45 years old), middle-aged group (45-60 years old) and old group (aged over 60). The clinical manifestations, location, pathological type and large colorectal polyps canceration were analyzed. Results:The cases of hematochezia in elderly group were significantly higher than that in middle-aged group. The location of colorectal polyps, the number of adenomatous polyp, the canceration of giant polyp were significant different between three groups. Conclusion:The hematochezia in elderly patients with colorectal polyps occurred at higher rates, with more adenomatous polyp number, higher incidence rate of colorectal location, more canceration of huge polyp, so the colonoscope should be provided earlier to the elderly patients to remove polyps and block the process of polyp canceration.