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[大肠弥漫性息肉病患者胃息肉的手术策略]

[Surgical tactics in gastric polyps in patients with diffuse polyposis of the large intestine].

作者信息

Nikitin A M, Baranov O N, Bondarev Iu A

出版信息

Vestn Khir Im I I Grek. 1986 Aug;137(8):43-6.

PMID:3765286
Abstract

An analysis of results of examination and surgical treatment of 500 patients with diffuse polyposis coli for the recent 30 years has shown that one fourth of the patients have polyps in the stomach. They have structure of adenoma with different degree of epithelialdysplasia. The incidence of polyps and their structure do not change after operation on the colon. Carcinoma of the stomach in such patients can develop in 0,4% of the cases while the malignization index of colon polyps is 150 times higher. Hence, the conclusion is made of the first and foremost importance of operation on the colon.

摘要

对近30年来500例弥漫性结肠息肉病患者的检查和外科治疗结果分析表明,四分之一的患者胃内有息肉。这些息肉具有腺瘤结构,伴有不同程度的上皮发育异常。结肠手术后息肉的发生率及其结构并无改变。此类患者胃癌的发生率为0.4%,而结肠息肉的恶变指数要高150倍。因此,得出结论:结肠手术最为重要。

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