36例食管乳头状瘤的临床内镜分析.doc

文档介绍：36例食管乳头状瘤的临床内镜分析
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【摘要】目的探讨食管乳头状瘤(EP)的临床内镜特点及病理。方法回顾性总结分析36例EP患者的临床内镜资料。结果(1)EP的临床表现无特异性。(2)内镜下病变主要位于中下段并且与食管炎相关,易被误诊为息肉及白斑。(3)治疗后15例患者随访3个月正常,11例随访2年未见复发,1例2年后在原来不同部位再发EP。结论(1)EP是否并发临近脏器肿瘤有待进一步研究。(2)黏膜慢性炎在EP发病中起一定作用。(3)乳头状病毒(HPV)感染与EP 的发病关系有待进一步探讨。(4)EP的发病是否与遗传基因相关也值得关注。
【关键词】食管乳头状瘤临床内镜分析
Abstract Objective To explore the feature of clinical findings of esophageal papilloma(EP) and its pathology . Methods Clinical data and endoscopic findings of 36 cases of EP were retrospectively analyzed . Results (1)There was no specific features in EP .(2)the lesions under endoscope mainly located at the mid and lower part and were related to esophagities , they were prone to be misdiagnosed as polypi or vitiligo. (3)The follow-up showed 15 cases remain normal 3 months after treatment and 11 cases without relapse within 2 years , 1 case had recurrence of EP at other location 2 years later . Conclusions (1)Whether plicates with tumors in ans needs further study; (2)mucosal chronic inflammation plays a role in EP morbidity; (3)The relationship between HPV infection and EP morbidity needs further investigation ;(4)EP morbidity’s correlation to ics needs further study.
【Key words】 Esophageal papilloma(EP) Clinical Analysis of endoscopic findings
食管乳头状瘤(Esophageal Papillomas,EP)为被覆鳞状上皮的息肉样肿瘤,过去认为EP较罕见,近年来随着消化内镜的广泛开展,其发病率有所增加[1];由于EP有复发可能,