中国实用儿科杂志 ›› 2025, Vol. 40 ›› Issue (11): 905-908.DOI: 10.19538/j.ek2025110607

• 专题笔谈 • 上一篇    下一篇

儿童常见消化道息肉的临床特点

  

  1. 吉林大学第一医院儿童医院消化科,吉林  长春  130021
  • 出版日期:2025-11-06 发布日期:2025-12-11
  • 通讯作者: 王丽波,电子信箱:wanglibo75@163.com

Clinical characteristics of pediatric gastrointestinal polyps

  1. Department of Gastroenterology,the First Hospital of Jilin University,Changchun  130021,China
  • Online:2025-11-06 Published:2025-12-11

摘要: 消化道息肉是儿童常见病,腹痛、便血为常见症状,由于儿童肠腔相对狭小,息肉生长速度较快,易诱发肠套叠、肠梗阻等并发症。尤其是息肉综合征患儿随年龄增长会出现息肉增多,甚至成年期存在恶变风险。因此,一旦发现息肉,应早期诊治,并进行病理检查以明确病变性质。近年随着内镜技术的飞速发展,对消化道息肉的诊治起了很大作用。该文将系统阐述儿童消化道息肉的临床特点,旨在强化对该病的认知,优化诊疗流程,从而降低严重并发症的发生率,改善患儿远期预后。

关键词: 儿童消化道息肉, 临床表现, 内镜特征, 病理学, 遗传学

Abstract: Gastrointestinal polyps are a common condition in children,with abdominal pain and hematochezia being the most frequent symptoms.Due to the relatively narrow intestinal lumen in children,polyps tend to grow rapidly and can easily induce complications such as intussusception and intestinal obstruction. Particularly in children with polyposis syndromes,the number of polyps tends to increase with age,and some may even carry malignant potential in adulthood.Therefore,early diagnosis and treatment are essential upon detection,along with pathological examination, to determine the nature of the lesions.In recent years,the rapid advancement of endoscopic techniques has significantly improved the diagnosis and management of gastrointestinal polyps. This article systematically reviews the clinical characteristics of pediatric gastrointestinal polyps,aiming to enhance understanding of the disease,optimize diagnostic and therapeutic protocols,and ultimately reduce the incidence of severe complications while improving long-term prognosis in affected children.

Key words: pediatric gastrointestinal polyps, clinical manifestations, endoscopic characteristics, pathology, genetics