胃炎性纤维性息肉的临床特征及内镜下诊治

摘要 目的：研究胃炎性纤维性息肉（IFP）的临床特征及内镜下诊断和治疗情况。方法：收集2010.1.1~2021.1.1陕西省人民医院确诊的11例IFP，重点分析其超声内镜表现及临床特征，探索其内镜下治疗价值。结果：IFP多发生在胃窦，均发生于40岁以上人群，男女比例无明显差别，平均直径1.2 cm，大部分临床无症状，有时可引起出血或腹痛。超声内镜示其为粘膜下隆起，孤立、界清，表面多光滑，均起源于粘膜下层，呈低回声，界清，类圆形；内镜下粘膜挖除术治疗IFP，手术时间短，恢复快，并获得完整的标本，术后病理有助确诊。结论：胃炎性纤维性息肉多发生40岁以上人群，多为胃窦孤立的粘膜下病变，多无症状，超声内镜有助于IFP的术前精确评估，内镜下粘膜挖除术是治疗IFP一项安全有效的方法，术后病理最终确诊。

Clinical Features and Endoscopic Diagnosis and Treatment of Gastric Inflammatory Fibroid Polyp

ABSTRACT Objective: To study the clinical features, endoscopic diagnosis and treatment of gastric inflammatory fibroid polyp (IFP). Methods: The data of 11 patients with gastric IFP who were admitted to the Shaanxi Provincial People''s hospital from January 1st, 2010 to January 1st, 2021 were collected. The endoscopic ultrasound findings and clinical features were analyzed to explore the value of endoscopic diagnosis and treatment. Gastric inflammatory fibroid polyps were mostly asymptomatic, and sometimes could cause bleeding or abdominal pain. Results: Gastric IFP mostly occured in the gastric antrum, all of which occured in people over 40 years old. There was no significant difference between men and women, with an average diameter of 1.2 cm. Endoscopic ultrasonography (EUS) showed that they were isolated submucosal protrusion, well-defined and smooth surface. They all originated from the submucosa, hypoechoic, well-defined and round like. Endoscopic submucosal excavation in the treatment of gastric IFP had the advantages of short operation time, rapid recovery, acquired intact pathological samples at the same time. Postoperative pathology is helpful for diagnosis. Conclusion: Gastric IFP mostly occur in people over 40 years old, and most of them are isolated submucosal lesions of gastric antrum, and most of them are asymptomatic. Endoscopic ultrasonography is helpful for accurate preoperative evaluation of IFP, and endoscopic submucosal excavation is a safe and effective method to treat IFP, and the postoperative pathology is finally confirmed.