1970例健康体检者中结肠癌及癌前病变肠镜结果分析

发布时间：2018-06-23 17:44

  本文选题：健康体检 + 结肠镜　； 参考：《新疆医科大学》2015年硕士论文

【摘要】：目的：了解新疆地区无症状体检人群的结直肠疾病患病情况,探讨对无症状人群进行结肠镜筛查的必要性。方法：纳入于2009年7月～2013年6月在新疆维吾尔自治区人民医院自愿接受结肠镜检查的无症状健康体检者,对其检查结果进行回顾性分析。结果：共1970例体检者纳入研究,结直肠粘膜病变总体病变检出率为39.4%,其中结直肠息肉376例(19.1%),结直肠癌10例(0.5%),结肠黑变病38例(1.9%)。检出的560枚息肉中,以分布于左半结肠的管状腺瘤居多。男性息肉检出率显著高于女性(24.6%对11.2%,P0.001)；结直肠息肉检出率随年龄增长呈上升趋势,≥50岁年龄段人群检出率显著高于50岁年龄段人群(25.9%对14.3%,P0.05)；汉族人群息肉检出率显著高于维吾尔族和哈萨克族人群(22.6%对10.9%和10.9%,P0.05)。结论：无症状人群结直肠癌检出率较低；结直肠息肉检出率较高,且结直肠息肉具有一定分布特征：病理类型(腺瘤性息肉居多)、民族(汉族高于少数民族),性别(男性多于女性)、年龄(检出率随着年龄增高而升高)；40岁以上无症状人群进行结肠镜检查,有利于早期结直肠肿瘤及癌前病变的早发现及早治疗。
[Abstract]:Objective: to investigate the prevalence of colorectal diseases in asymptomatic physical examination population in Xinjiang and to explore the necessity of colonoscopy screening in asymptomatic population. Methods: from July 2009 to June 2013, the asymptomatic healthy persons who voluntarily underwent colonoscopy in the people's Hospital of Xinjiang Uygur Autonomous region were included and the results were analyzed retrospectively. Results: the total detection rate of colorectal mucosal lesions was 39.4% (376 / 1970), 10 (0.5%) and 38 (1.9%) of colorectal polyps, colorectal cancer and melanosis, respectively. The total detection rate of colorectal mucosal lesions was 39.4%, including 376cases (19.1%) of colorectal polyps, 10 cases (0.5%) of colorectal cancer and 38 cases (1.9%) of melanosis. Most of the 560 polyps detected were tubular adenomas in the left colon. The detection rate of polyps in males was significantly higher than that in females (24.6% vs 11.2, P0.001), the detection rate of colorectal polyps increased with age, and the detection rate of colorectal polyps was significantly higher in people aged 鈮，

本文编号：2057899