回盲部多发簇状息肉的临床特点分析（附9例报告）

Clinical characteristics analysis of multiple clustered polyps in the ileocecal region (9 cases)

摘要:

目的 分析回盲部多发簇状息肉的病因和临床特点。方法 选择2017年－2022年该院内镜诊治中心发现的仅在回盲部有多发簇状息肉的患者9例，回顾性分析其病因和临床特点。结果 9例患者中，男7例，女2例，发病年龄28～73岁，中位数52（40.0，62.5）岁，主要临床症状为：腹部不适或腹痛8例，慢性腹泻4例，黏液便2例，大便干结1例。息肉数目4～17枚，息肉直径为0.2～1.0 cm。8例息肉病理为：（回盲部）黏膜慢性炎伴息肉形成，1例息肉病理为：（回盲部）管状腺瘤，伴腺上皮轻度异型增生。7例多食红肉类食物或加工制品。6例复查结肠镜的患者中，有3例复发。结论 仅在回盲部出现的多发簇状息肉，是一类与炎症密切相关的特殊类型的息肉，建议内镜治疗后，注意控制炎症。

Abstract:

Objective To analyze the etiology and clinical characteristics of multiple clustered polyps in the ileocecal region.Methods Nine patients with multiple clustered polyps only in the ileocecal region found from 2017 to 2022 were retrospectively collected, and their etiology and clinical characteristics were analyzed.Results There were 9 patients with multiple clustered polyps in the ileocecal region in this group. There were 7 males and 2 females. The age of onset was 28~73 years old, 52 (40.0, 62.5) years old. There were 8 cases of abdominal discomfort or abdominal pain, 4 cases of chronic diarrhea, 2 cases of mucous stool and 1 case of dry stool. The number of polyps ranged from 4 ~ 17, and the diameter of polyps ranged from 0.2 ~ 1.0 cm. Pathological examination showed chronic inflammation of ileocecal mucosa with polyp formation in 8 cases, and canalicular adenoma with mild dysplasia in 1 case. 7 cases ate more red meat food or processed products. 6 cases had repeat colonoscopy, and 3 cases had recurrence.Conclusion Multiple clustered polyps appearing only in the ileocecal region are a special type of polyps closely related to inflammation, and endoscopic surgery is recommended followed by attention to control inflammation.