小儿结肠息肉105例内镜下特征分析

目的探讨小儿结肠息肉内镜下的临床特征、病理特点。方法回顾性分析105例小儿结肠息肉病例的内镜、病理特点及随访结果。结果大肠息肉分布主要集中于远端结肠,其中直肠占43.20%,乙状结肠占29.60%,降结肠占9.60%、横结肠占9.60%、升结肠占4.80%、盲肠占3.20%。大肠息肉病理类型中最常见为幼年性息肉,占70.48%,其他炎症性息肉、腺瘤性息肉分别占24.76%、4.76%。结论小儿大肠息肉以幼年性息肉为主,分布主要集中于远端结肠,但对于疑诊大肠息肉的病例应进行全结肠检查,以避免漏诊。

Endoscopic appearance of colonic polyps in 105 children

Objective To investigate the endoscopic appearance and pathological characteristics of colonic polyps in children. Methods The clinical data of 105 cases of colonic polyps in children were retrospectively analyzed, including the endoscopic appearance, pathological characteristics, and the follow-up results. Results Colonic polyps were found to be mainly distributed in the distal colon, of which 43.2% were located in rectum, 29.60% in sigmoid colon, 9.60% in descending colon, 9.60% in transverse colon, 4.80% in ascending colon, and 3.20% in caecum. Histologic examination showed that 70.54% of polyps were juvenile polyps, 24.11% of polyps were inflammatory polyps, 5.35% of polyps were adenomatous polyps. Conclusion Colonic polyps in children are mainly with juvenile polyps, distributed in the distal colon. In order to avoid misdiagnosis, suspected patients for colonic polyps should undergo total colonic examination.