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目的:探析老年人结肠息肉临床及病理特征。方法:选取本院2012年1月-2015年1月收治的老年结肠息肉患者160例作为老年组;选取同期60岁以下的结肠息肉患者160例作为中青年组。将两组患者结肠息肉的特点、临床表现、部位等进行分析。结果:在320例患者中,左半结肠患病率明显高于右半结肠(P<0.05);腺瘤性息肉的患病率高于其他类型息肉;老年人发病率为45%,明显高于青年的20%(P<0.05);老年结肠息肉患者中,有55%的老年患者有血便或大便隐血试验阳性。结论:老年人结肠息肉的发病率明显高于中青年,发病临床症状主要为血便或大便隐血阳性,易发部位为左半结肠,所以老年人在检查结肠息肉时,尽量检查全肠,降低漏诊率,减少结肠癌的发生。
Objective: To investigate the clinical and pathological features of colonic polyps in the elderly. Methods: A total of 160 elderly patients with colon polyps who were treated in our hospital from January 2012 to January 2015 were selected as the elderly group. 160 patients with colonic polyps under the age of 60 were selected as the middle-aged and young group. Two groups of patients with colon polyps characteristics, clinical manifestations, site analysis. Results: Among the 320 patients, the prevalence of left colon was significantly higher than that of the right colon (P <0.05). The prevalence of adenomatous polyps was higher than that of other types of polyps. The incidence of the elderly was 45% In 20% of young people (P <0.05), 55% of elderly patients with colorectal polyps had bloody stool or fecal occult blood test. Conclusion: The incidence of colon polyps in the elderly is significantly higher than that in middle-aged and young adults. The main clinical symptoms are blood stool or fecal occult blood, and the prone site is the left colon. Therefore, the elderly try to check the entire intestine when examining the colon polyps to reduce the missed diagnosis Rate, reduce the incidence of colon cancer.