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基于图像拼接算法和内窥镜检查的胃息肉患者病理特征分析及护理干预

Analysis of pathological characteristics and nursing intervention of patients with gastric polyps based on image stitching algorithm and endoscopy.

作者信息

Zhu Linzhen, Zhu Linlin, Yu Weihua

机构信息

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.

出版信息

Pak J Med Sci. 2021;37(6):1620-1624. doi: 10.12669/pjms.37.6-WIT.4854.

Abstract

OBJECTIVES

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

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Gastric Epithelial Polyps: When to Ponder, When to Panic.胃上皮息肉:需要关注还是恐慌?
Surg Pathol Clin. 2020 Sep;13(3):431-452. doi: 10.1016/j.path.2020.05.004. Epub 2020 Jul 11.
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Progress in clinical diagnosis and treatment for gastric polyps.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2020 Jan 28;45(1):74-78. doi: 10.11817/j.issn.1672-7347.2020.180521.
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Bone metastasis as a recurrence of early papillary adenocarcinoma of the stomach.胃早发型乳头状腺癌术后复发骨转移
Clin J Gastroenterol. 2020 Jun;13(3):349-353. doi: 10.1007/s12328-019-01050-1. Epub 2019 Oct 12.
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Low-Computational Cost Stitching Method in a Three-Eyed Endoscope.三眼内窥镜中的低计算成本拼接方法。
J Healthc Eng. 2019 Jun 17;2019:5613931. doi: 10.1155/2019/5613931. eCollection 2019.
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Sedated gastroscopy improves detection of gastric polyps.镇静状态下的胃镜检查可提高胃息肉的检出率。
Exp Ther Med. 2018 Oct;16(4):3116-3120. doi: 10.3892/etm.2018.6525. Epub 2018 Jul 26.

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