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我院近5年来采用经胃镜治疗上消化道息肉147例,效果满意,现报告如下。 1.临床资料 1.一般资料 147例中男71例,女76例,年龄20～70岁,平均39.65岁。食管9例,贲门12例,胃底1例,胃体31例(其中1例为残胃胃体),胃窦70例,幽门17例,十二指肠球部5例,食管、空肠吻合口1例,食管、残胃吻合口1例,其中多部位同时发生息肉7例。病理检查:腺瘤性息肉11例,疣状增生5例,黄色瘤8例,炎性息肉85例,增生性息肉38例。胃镜下所见:山田Ⅱ型126例,Ⅲ型16例,Ⅳ型5例;<0.5cm33枚,0.5～1.0cm 88枚,1.0～2.0cm 35枚,>7.0cm 7枚。单发息肉134例,多发13例,最多为4枚。
In our hospital for the past five years, 147 cases of upper gastrointestinal polyps have been treated with gastroscope. The results are satisfactory. The report is as follows. 1. Clinical data 1. General information 147 cases of 71 males and 76 females, aged 20 to 70 years, an average of 39.65 years old. Esophagus in 9 cases, cardia in 12 cases, gastric fundus in 1 case, gastric body in 31 cases (including 1 case of remnant gastric body), gastric antrum in 70 cases, pylorus in 17 cases, duodenal bulb in 5 cases, esophageal, jejunal anastomosis In 1 case, there was an esophageal and residual gastric anastomosis in 1 patient. There were 7 polyps in multiple sites. Pathological examination: 11 cases of adenomatous polyps, verrucous hyperplasia in 5 cases, 8 cases of xanthoma, 85 cases of inflammatory polyps, 38 cases of hyperplastic polyps. Endoscopic findings: 126 cases of Yamada type II, 16 cases of type III, 5 cases of type IV; <0.5cm33, 0.5 ~ 1.0cm 88, 1.0 ~ 2.0cm 35,> 7.0cm 7 pieces. There were 134 single polyps, 13 multiples, and a maximum of 4.