| 管雪梅,张峰茹,杜丽华,张 波,高梅燕.结直肠息肉患者切除术后多发性复发与临床病理特征的关系研究[J].,2024,(17):3284-3288 |
| 结直肠息肉患者切除术后多发性复发与临床病理特征的关系研究 |
| Relationship between Multiple Relapses and Clinicopathological Features in Patients with Colorectal Polyps after Resection |
| 投稿时间：2024-03-23 修订日期：2024-04-18 |
| DOI：10.13241/j.cnki.pmb.2024.17.017 |
| 中文关键词: 结直肠息肉 多发性复发 病理特征 息肉直径 息肉数量 腺瘤性息肉 |
| 英文关键词: Colorectal polyp Multiple relapses Pathological feature Polyp diameter Number of polyps Adenomatous polyp |
| 基金项目:山西省重点研发计划项目（202003D321088） |
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| 中文摘要: |
| 摘要 目的：分析结直肠息肉患者切除术后多发性复发与临床病理特征的关系。方法：回顾性选取2018年1月~2022年12月至山西省肿瘤医院行结直肠息肉切除术的300例患者，根据患者术后1年复查结果进行分组，复发患者中复发息肉数量≥3枚者纳入多发性复发组（25例），复发息肉数量＜3枚者纳入对照组（142例）。比较两组患者基线资料和首检病理特征，分析结直肠息肉患者切除术后多发性复发与病理特征的相关性。结果：两组患者息肉直径、息肉数量和病理类型经比较，差异有统计学意义（P＜0.05）；两组患者息肉部位、息肉颜色、息肉形态和切除方式经比较，差异无统计学意义（P＞0.05）。logistic回归分析结果显示，息肉直径增大、息肉数量增加和腺瘤性息肉是导致结直肠息肉患者切除术后多发性复发的独立危险因素（P＜0.05）。Pearson法分析结果显示，结直肠息肉患者切除术后多发性复发与息肉直径、息肉数量和腺瘤性息肉呈明显正相关（P＜0.05）。结论：结直肠息肉患者切除术后多发性复发与首检息肉直径、息肉数量和腺瘤性息肉呈明显相关性。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the relationship between multiple relapses and clinicopathological features in patients with colorectal polyps after resection. Methods: A retrospective study was conducted. 300 patients who underwent colorectal polypectomy at Shanxi Provincial Cancer Hospital from January 2018 to December 2022 were enrolled in this study. They were grouped based on 1-year postoperative follow-up outcomes. Among the patients with relapses, those with 3 or more recurrence polyps were included in the multiple relapses group (25 cases), while those with fewer than 3 recurrence polyps were included in the control group (142 cases). Baseline data and initial pathological features of the two groups of patients were comparatively analyzed. The correlation between multiple relapses and pathological features in patients with colorectal polyps after resection was discussed. Results: There were statistically significant differences in the diameter, number, and pathological type of polyps between the two groups (P<0.05). There was no statistically significant difference between the two groups in terms of polyp location, polyp color, polyp morphology, and resection method (P>0.05). Logistic regression analysis results showed that polyps in large diameter, increased number of polyps, and adenomatous polyps were independent risk factors for multiple relapses in patients with colorectal polyps after resection (P<0.05). Pearson analysis results showed that multiple relapses in patients with colorectal polyps after resection were positively correlated with polyp diameter, number of polyps, and adenomatous polyps (P<0.05). Conclusion: There is a significant correlation between multiple relapses and polyp diameter, number of polyps, adenomatous polyps in patients with colorectal polyps after resection. |
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