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目的了解无症状体检者结直肠息肉检出情况及与临床因素的关系。方法对2009年4月-2013年6月我院干部病房住院的无症状体检者的临床资料、结肠镜结果进行分析。结果 328例无症状体检者中,检出结直肠息肉130例(39.6%)、降结肠癌1例(0.3%)、结肠憩室1例(0.3%)、乙状结肠炎症1例(0.3%)、腺瘤75例(22.9%)、进展期息肉19例(5.8%)。随着年龄的增长结直肠息肉检出率及腺瘤检出率逐渐升高(均P<0.05),男性较女性结直肠息肉及腺瘤检出率明显升高(均P<0.05),吸烟的患者较未吸烟的患者结直肠息肉及腺瘤检出率明显升高(均P<0.05)。结论结肠镜检查是无症状人群筛查癌前病变的有效方法,年龄增长及男性、吸烟的患者结直肠息肉及腺瘤发生率高。
Objective To investigate the detection of colorectal polyps in asymptomatic subjects and its relationship with clinical factors. Methods From April 2009 to June 2013, the clinical data and colonoscopy results of hospitalized asymptomatic cadres in our hospital were analyzed. Results Among 328 asymptomatic subjects, 130 (39.6%) were diagnosed as colorectal polyps, 1 ascending colon cancer (0.3%), 1 colonic diverticulum (0.3%), 1 sigmoid colon inflammation There were 75 cases (22.9%) of tumors and 19 cases (5.8%) of advanced polyps. With the increase of age, the detection rate of colorectal polyps and the detection rate of adenomas gradually increased (all P <0.05), the detection rate of colorectal polyps and adenomas was significantly higher in males than in females (all P <0.05) Of the patients had significantly higher detection rate of colorectal polyps and adenomas than those without smoking (all P <0.05). Conclusion Colonoscopy is an effective method to screen precancerous lesions in asymptomatic subjects. The incidence of colorectal polyps and adenomas is high in patients with age and smoking.