胃息肉合并结直肠息肉的危险因素分析

Risk factors analysis of gastric polyp combined with colorectal polyp

摘要:

目的 探讨胃息肉合并结直肠息肉的危险因素，为高风险胃息肉患者行结肠镜检查提供理论依据。方法 回顾性分析2017年1月—2019年1月于华北理工大学附属医院消化内科住院行胃镜及结肠镜检查的479例患者，将同时检出有胃息肉和结直肠息肉的患者107例作为病例组，单纯胃息肉患者67例为对照组。收集两组的各项临床资料、胃肠镜报告及病理结果。采用多因素Logistic回归分析胃息肉患者合并结直肠息肉的危险因素。结果 年龄［R=1.092（95% CI：1.042，1.144）］、性别［R=3.250（95% CI：1.207，8.753）］、体重指数［R=1.184（95% CI：1.013，1.384）］、幽门螺杆菌感染［R=0.369（95% CI：0.178，0.764）］是胃息肉患者合并结直肠息肉的危险因素。病例组胃息肉的病理类型分为胃底腺息肉、增生性息肉、腺瘤性息肉及炎症息肉4种。结直肠息肉的病理类型分为非腺瘤性肠息肉和腺瘤性肠息肉2种。4种类型胃息肉中非腺瘤性息肉、腺瘤性息肉构成比的比较，差异有统计学意义（P <0.05）。结论 建议年龄 > 60岁、男性、肥胖、幽门螺杆菌感染的胃息肉患者行结肠镜检查。

Abstract:

Objective To study the risk factors of gastric polyps combined with colorectal polyps, and provide a theoretical basis for colonoscopy in patients with high-risk gastric polyps.Methods A retrospective analysis of all 479 patients admitted to the Department of Gastroenterology, North China University of Technology Hospital from January 2017 to January 2019, underwent gastroscopy and colonoscopy during hospitalization, also had patients with gastric polyps and intestinal polyps. 107 cases were used as case group, and 67 cases of simple gastric polyps were used as control group, and collect clinical data, gastrointestinal endoscopy reports, and pathological findings of the two groups were collected. Multivariate logistic regression analysis was used to screen the rick factors.Results Multivariate logistic regression analysis showed age [R = 1.092 (95% CI: 1.042, 1.144)], gender [R = 3.250 (95% CI: 1.207, 8.753)], BMI [R = 1.184 (95% CI: 1.013, 1.384)], and Hp [R = 0.369 (95% CI: 0.178, 0.764)] are risk factors for colorectal polyps in patients with gastric polyps. The pathological type of gastric polyps in patients with gastric polyps complicated with colorectal polyps was related to the pathological type of intestinal polyps (P < 0.05).Conclusions Colonoscopy is recommended for patients with gastric polyps older than 60 years old, male, obese, and Helicobacter pylori infection.