Đặc điểm lâm sàng và nội soi tổn thương polyp đại tràng phát hiện tại Trung tâm Nội soi tiêu hoá

Đặc điểm lâm sàng và nội soi tổn thương polyp đại tràng phát hiện tại Trung tâm Nội soi tiêu hoá - gan mật, Bệnh viện Bạch Mai

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Tác giả: Anh Giang Đỗ, Thị Thu Thảo Đồng, Văn Chương Hoàng, Văn Tuấn Kiều, Công Long Nguyễn, Hoài Nam Nguyễn, Thế Phương Nguyễn, Bình Nguyên Phạm, Như Hoà Phạm, Thị Tân Trần, Tuấn Việt Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 617.554 +Intestine

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 53-58

Bộ sưu tập: Metadata

ID: 499082

Thêm vào giỏ

Mô tả đặc điểm lâm sàng và hình ảnh nội soi tổn thương polyp đại trực tràng phát hiện tại trung tâm nội soi Tiêu hóa - Gan mật, bệnh viện Bạch Mai. Đối tượng và phương pháp: Nghiên cứu mô tả đặc điểm lâm sàng và đặc hiểm hình ảnh nội soi tổn thương polyp ĐTT của 339 bệnh nhân với 490 polyp ĐTT từ tháng 1/2021 - 4/2022. Các bệnh nhân (BN) thỏa mãn tiêu chuẩn lựa chọn và loại trừ được phỏng vấn các thông tin cơ bản (tuổi, giới, nghề nghiệp, học vấn...), thông tin về các dấu hiệu lâm sàng. Sau đó, BN được nội soi thường phát hiện polyp và đánh giá các điểm như vị trí, kích thước, đặc điểm hình thái polyp. Kết quả: Tỷ lệ mắc polyp ĐTT của nam/nữ = 1,5/1 và tỷ lệ BN trên 40 tuổi trong nghiên cứu là 97,4%. Các triệu chứng lâm sàng thường gặp là đau bụng, phân lỏng với tỷ lệ tương ứng 59,3% và 23,9%. Polyp được phát hiện nhiều nhất tại đại tràng sigma với tỷ lệ 32,4%. Polyp kích thước nhỏ dưới 10 mm chiếm chủ yếu với tỷ lệ 80,2%. Polyp Paris typ 0-I chiếm chủ yếu với tỷ lệ 93,9% (trong đó polyp Paris typ Isp chiếm 71,8%). Kết luận: Đau bụng, phân lỏng là triệu chứng lâm sàng phổ biến nhất ở bệnh nhân mắc polyp ĐTT với tỷ lệ tương ứng 59,3% và 23,9%. Polyp phát hiện ở toàn bộ đại tràng, trong đó thường gặp nhất tại đại tràng sigma (32,4%). Polyp Paris typ 0-I chiếm chủ yếu với tỷ lệ 93,9%To describe the clinical characteristics and endoscopic images of colorectal polyps of patients who were endoscopically detected polyps at the Gastroenterology - Hepatobiliary Center, Bach Mai Hospital. Subjects and methods: Design a descriptive study on clinical features and images of colorectal polyps through endoscopic examination of 339 patients with 490 colorectal polyps from January 2021 to April 2022. Patients who met the inclusion and exclusion criteria were interviewed for basic information (age, gender, occupation, education...), information on clinical signs. Patients undergoing colonoscopy often detect polyps and evaluate characteristics such as location, size, and morphology of polyps. Results: The rate of colorectal polyps of men/women = 1.5/1 and the rate of patients over 40 years old in the study was 97.4%. Common clinical symptoms are abdominal pain, loose stools with the proportion of 59.3% and 23.9%, respectively. Polyps were detected the most in the sigmoid colon with the rate of 32.4%. Small polyps under 10 mm accounted for the majority with the rate of 80.2%. Paris polyps type 0-I accounted for 93.9% (of which Paris type Isp polyps accounted for 71.8%). Conclusion: The most common clinical symptom in patients with colorectal polyps was abdominal pain, loose stools with the respective rate of 59.3% and 23.9%. Polyps were detected in the entire colon, of which the most common was in the sigmoid colon (32.4%). Polyp Paris type 0-I accounted for 93.9%.

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