2485例常规结肠镜筛查结肠息肉检出情况分析

发布时间：2019-07-04 21:30

【摘要】：目的了解不同性别和年龄者结肠息肉发病情况。方法按性别、年龄、发病部位以及病理学结果等因素对该院接受常规结肠镜检查的2 485例患者结肠息肉及结肠癌发病情况进行分析。结果 2 485例患者中结肠息肉检出率为35.6%,结肠癌检出率为5.8%,其中男性结肠息肉检出率为40.9%,结肠癌检出率为7.7%;女性结肠息肉检出率为30.5%,结肠癌检出率为3.9%。检出率随着年龄而增加,结肠息肉及结肠癌检出高峰均在70岁年龄组,50岁以上年龄组男性结肠息肉及结肠癌检出率均明显高于女性(P0.01)。息肉以炎性息肉为主,腺瘤性息肉次之,以左半结肠为主。结论结肠息肉是年龄相关性疾病,其存在年龄及性别差异,男性结肠息肉及结肠癌检出率高于女性,男女性结肠息肉及结肠癌检出率均随年龄增长而增加,男女40岁以上息肉检出率明显升高,对40岁以上有肠道症状者应进行结肠镜筛查。
[Abstract]:Objective to investigate the incidence of colon polyps in different genders and ages. Methods the incidence of colon polyp and colon cancer in 2 485 patients undergoing routine colonoscopy were analyzed according to sex, age, location and pathological results. Results the detection rate of colon polyp and colon cancer was 35.6% and 5.8%, respectively. The detection rate of colon polyp and colon cancer was 40.9% and 7.7% respectively, and that of female colon polyp was 30.5% and that of colon cancer was 3.9%. The detection rate of colon polyps and colon cancer increased with age. The detection rates of colon polyps and colon cancer in men over 50 years old were significantly higher than those in women (P 0.01). Inflammatory polyps were the main polyps, adenomatous polyps were the second, and left hemicolon was the main polyps. Conclusion Colon polyp is an age-related disease, and there are age and sex differences. The detection rate of colon polyp and colon cancer in male and female is higher than that in female. The detection rate of colon polyp and colon cancer in male and female increases with the increase of age, and the detection rate of polyp over 40 years old is significantly higher. Colonoscopy screening should be carried out for those over 40 years old with intestinal symptoms.
【作者单位】：中国中医科学院广安门医院南区内1科;
【基金】：北京市中医药科技项目基金资助课题“电子结肠镜下肠粘膜血管表现与血瘀证的相关性”(No:S2013-02)
【分类号】：R574.62

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