大腸息肉及其癌變的臨床相關(guān)因素探討.pdf

1、南昌大學(xué)醫(yī)學(xué)院碩士學(xué)位論文大腸息肉及其癌變的臨床相關(guān)因素探討姓名：周立平申請學(xué)位級別：碩士專業(yè)：內(nèi)科學(xué)指導(dǎo)教師：朱水山20070415AbstractABSTRACTobjective：Tostudythedangerousfactorsleadingtothecancerationofeolorectalpolypsthroughtheretrospectiveanalysisofmaterialsaboutpatientswithc

2、olorectalpolypsconfirmedbycolonoscopyandpathologycheckMethods：529clinicalpatientswhichwereout—patientclinicorinhospitalfrom2000to2006werecheckedwithcolonoscopyTherewere761polypswefindtherewere43patientsand53polypswithcar

3、cinomatouschangeintotalconfirmedbythepathologycheckWerespectivelystasisedthecancerationnumberaccordingtogender，age，thesizeofthepolyps，singleormultiplepolyps，thepositionofpolyps，thepathohistologytypeofpolypsandanalyzedthe

4、resultswiththechisquaretestResults：(1)Thecalcerationratesofmenandwomanale78％and9O％respectivelytherearenosignificantlystatisticaldifference(P=069)(2)thecarcerationratofpatientswhoseageareoldthan40yearsishigherthanthelesst

5、han40yearspatients，therealesignificantlystatisticaldifferencebetweenthem(PO007)(3)Withthedevelopingoftheintestinesize，thecarcerationratehasincreased，therearesignificantlystatisticaldifferencebetweencarcerationratesofthel

6、argethan10cmandthelessthan10cm(PO0125)(4)Themultiplepolypshashighercancerationrate(175％)thanthesinglepolyps(48％)，therearesignificantlystatisticaldifferencebetweenthem(PO05)(5)Thepolypswhichgrowinrectumorsigmoidcolonhashi

7、ghercancerationratethaninascending、transverseanddescending(PO005)(6)Theadenomaandespeciallythevilloustypeadenomahashighcancerationratethanothers，therearestatisticalsignificancebetweenofthem(PO0125)Conclusion：(1)Thesexisn

8、otoneofthedangerousfactorsleadingtothecancerationofcolorectalpolyps，thedangerousfactorsaretheoldthan40years，thepolypsintestinesizelargethan10cm，themultiplepolyps，thepolypswhichgrowinrectumorsigmoidcolon，theadenomaandespe