国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
7期
947-950
,共4页
结肠镜检查%下消化道出血%病因学分析
結腸鏡檢查%下消化道齣血%病因學分析
결장경검사%하소화도출혈%병인학분석
Colonoscopy%Lower gastrointestinal hemorrhage%Etiological analysis
目的 探讨不同年龄阶段下消化道出血的病因及发病特点.方法 对2008年5月-2010年12月我院收治的下消化道出血168例患者的结肠镜检查结果进行回顾性分析.结果 下消化道出血排名前5位的病因依次为:结直肠炎(46例,27.38％)、肛周疾病(32例,19.05％)、大肠癌(30例,17.86％)、息肉(27例,16.07％)和炎症性肠病(29例,17.26％).老年组大肠癌的发病率高于其余两组(P＜ 0.01,P＜0.05),中青年组结直肠炎发病率高于其他两组(P＜0.05).男性大肠癌、息肉、肛周疾病的发病率均高于女性,差异有显著性(尸＜ 0.05).结论 下消化道出血的发病与年龄、性别相关,结直肠炎、肛周疾病、大肠癌、息肉和炎症性肠病为其主要病因.
目的 探討不同年齡階段下消化道齣血的病因及髮病特點.方法 對2008年5月-2010年12月我院收治的下消化道齣血168例患者的結腸鏡檢查結果進行迴顧性分析.結果 下消化道齣血排名前5位的病因依次為:結直腸炎(46例,27.38％)、肛週疾病(32例,19.05％)、大腸癌(30例,17.86％)、息肉(27例,16.07％)和炎癥性腸病(29例,17.26％).老年組大腸癌的髮病率高于其餘兩組(P＜ 0.01,P＜0.05),中青年組結直腸炎髮病率高于其他兩組(P＜0.05).男性大腸癌、息肉、肛週疾病的髮病率均高于女性,差異有顯著性(尸＜ 0.05).結論 下消化道齣血的髮病與年齡、性彆相關,結直腸炎、肛週疾病、大腸癌、息肉和炎癥性腸病為其主要病因.
목적 탐토불동년령계단하소화도출혈적병인급발병특점.방법 대2008년5월-2010년12월아원수치적하소화도출혈168례환자적결장경검사결과진행회고성분석.결과 하소화도출혈배명전5위적병인의차위:결직장염(46례,27.38％)、항주질병(32례,19.05％)、대장암(30례,17.86％)、식육(27례,16.07％)화염증성장병(29례,17.26％).노년조대장암적발병솔고우기여량조(P＜ 0.01,P＜0.05),중청년조결직장염발병솔고우기타량조(P＜0.05).남성대장암、식육、항주질병적발병솔균고우녀성,차이유현저성(시＜ 0.05).결론 하소화도출혈적발병여년령、성별상관,결직장염、항주질병、대장암、식육화염증성장병위기주요병인.
Objective To explore the causes and characteristics of lower gastrointestinal tract hemorrhage in the different ages.Methods The results of colonoscopic examinations were retrospectively analyze in 168 patients with lower gastrointestinal tract hemorrhage who had been hospitalized during May 2008 to December 2010.Results The top five causes of lower gastrointestinal hemorrhage were as follows:colitis ( 46 cases,27.38％ ),perianal abnormality or Crissum's disease ( 32 cases,19.05％ ),colorectal carcinoma ( 30 cases,17.86％ ),colorectal polyps (27 cases,16.07％ ),and inflammatory bowel disease( 29 cases,17.26％ ).The incidence rate of colorectal carcinoma was higher in the elderly group than in the other two age groups ( P＜ 0.01 and P＜ 0.05 ); that of colitis was higher in the young and middle-aged group than in the other two age groups ( P ＜ 0.01 and P ＜ 0.05 ).The incidence of colorectal carcinoma,perianal abnormality,and colorectal polyps was higher in the male group than in the female group ( P ＜ 0.05 ).Conclusions Lower gastrointestinal hemorrhage is associated with age and sex.Colitis,perianal abnormality or Crissum's disease,colorectal carcinoma,colorectal polyps,and inflammatory bowel disease are the major causes of lower gastrointestinal hemorrhage.
