Zhu Linzhen, Zhu Linlin, Yu Weihua
Linzhen Zhu, Deputy Director of the nurse. Endoscopy Center, The Fourth Affiliated Hospital of Zhejiang University School of Medicine, Yiwu City, 322000, Zhejiang Province, China.
Linlin Zhu, Deputy Director of the nurse. Beiyuan Street Community Health Service Centre, Yiwu City, 322000, Zhejiang Province, China.
Pak J Med Sci. 2021;37(6):1620-1624. doi: 10.12669/pjms.37.6-WIT.4854.
The paper uses image stitching algorithm to understand the clinical and pathological characteristics of gastric polyps under gastroscope, and provides objective basis for the clinical diagnosis and treatment of gastric polyps and nursing intervention.
The endoscopic, pathological data and surgical conditions of 111 patients with gastric polyps detected in the hospital from January 2017 to August 2019 were retrospectively analyzed.
The elderly patients (≥60 years old) in this group were those with high incidence of gastric polyps (56.8%); 80 patients with single polyps (72.1%), 31 patients with multiple polyps (27.9%); polyps were mainly located in the stomach (53.2%); polyps diameter ≤0.5cm are more common (69.4%); polyps are mainly hyperplastic polyps (40.5%) and inflammatory polyps in 37 cases (33.3%). Polyps were removed by biopsy forceps in 30 cases, endoscopic submucosal injection of 0.9% NaCl solution combined with high-frequency electrosurgical removal of 54 cases, endoscopic mucosal resection (EMR) in 6 cases, and endoscopic submucosal dissection (ESD) in treatment of the 4 cases, the remaining 17 cases were treated with surgery, and 12 patients were followed up, 2 of whom relapsed.
Gastric polyps are small in diameter and mostly single; polyps are mainly located in the stomach body, mainly hyperplastic polyps; treatment methods are mostly endoscopic resection, and there is a possibility of recurrence after polypectomy, and follow-up should be strengthened. Full preparation before the operation, close cooperation during the operation, and careful postoperative care are important links to ensure the safety of the operation and reduce complications such as upper gastrointestinal bleeding.
运用图像拼接算法了解胃镜下胃息肉的临床及病理特征，为胃息肉的临床诊断、治疗及护理干预提供客观依据。
回顾性分析2017年1月至2019年8月在我院检出的111例胃息肉患者的内镜、病理资料及手术情况。
该组老年患者（≥60岁）胃息肉发病率较高（56.8%）；单发息肉80例（72.1%），多发息肉31例（27.9%）；息肉主要位于胃体（53.2%）；息肉直径≤0.5cm者较为常见（69.4%）；息肉主要为增生性息肉（40.5%），炎性息肉37例（33.3%）。30例采用活检钳摘除息肉，54例采用内镜下黏膜下注射0.9%氯化钠溶液联合高频电刀切除，6例采用内镜黏膜切除术（EMR），4例采用内镜黏膜下剥离术（ESD）治疗，其余17例行手术治疗，12例患者进行随访，其中2例复发。
胃息肉直径较小，多为单发；息肉主要位于胃体部，以增生性息肉为主；治疗方法多为内镜下切除，息肉切除术后有复发可能，应加强随访。术前充分准备、术中密切配合、术后精心护理是确保手术安全、减少上消化道出血等并发症的重要环节。
