中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2012年
9期
500-502
,共3页
朐蕊%曹海龙%王邦茂%王涛
朐蕊%曹海龍%王邦茂%王濤
구예%조해룡%왕방무%왕도
胃腺瘤%十二指肠腺瘤%结直肠肿瘤%结肠镜
胃腺瘤%十二指腸腺瘤%結直腸腫瘤%結腸鏡
위선류%십이지장선류%결직장종류%결장경
Gastric adenomas%Duodenal adenomas%Colorectal neoplasia%Colonoscopy
目的 评估上消化道腺瘤患者中结直肠肿瘤(腺瘤和癌)的患病情况.方法 回顾性分析2007年至2011年消化内镜检查的患者,选取经病理证实为上消化道腺瘤并且行结肠镜检查的39例作为病例组,选取同期行胃肠镜检查而胃镜示无腺瘤并且性别年龄匹配的78例作为对照组,比较两组结直肠肿瘤患病情况的差异.结果 病例组结直肠肿瘤的检出率为51.3％ (20/39),其中腺瘤的检出率为38.5％(15/39),癌的检出率为12.8％(5/39).对照组中结直肠肿瘤的检出率为14.1％(11/78),其中腺瘤的检出率为12.8％(10/78),癌的检出率为1.3％(1/78).病例组结直肠肿瘤的检出率明显高于对照组(P ＜0.001),其中结肠腺瘤和结肠癌的检出率也均分别高于对照组(50.0％比12.5％和52.2％比15.2％).分别将胃、十二指肠腺瘤进行单独比较,亦发现两组结直肠肿瘤检出率均显著高于相应对照组.结论 上消化道腺瘤的患者结直肠肿瘤的检出率较高,建议及时行结肠镜检查.
目的 評估上消化道腺瘤患者中結直腸腫瘤(腺瘤和癌)的患病情況.方法 迴顧性分析2007年至2011年消化內鏡檢查的患者,選取經病理證實為上消化道腺瘤併且行結腸鏡檢查的39例作為病例組,選取同期行胃腸鏡檢查而胃鏡示無腺瘤併且性彆年齡匹配的78例作為對照組,比較兩組結直腸腫瘤患病情況的差異.結果 病例組結直腸腫瘤的檢齣率為51.3％ (20/39),其中腺瘤的檢齣率為38.5％(15/39),癌的檢齣率為12.8％(5/39).對照組中結直腸腫瘤的檢齣率為14.1％(11/78),其中腺瘤的檢齣率為12.8％(10/78),癌的檢齣率為1.3％(1/78).病例組結直腸腫瘤的檢齣率明顯高于對照組(P ＜0.001),其中結腸腺瘤和結腸癌的檢齣率也均分彆高于對照組(50.0％比12.5％和52.2％比15.2％).分彆將胃、十二指腸腺瘤進行單獨比較,亦髮現兩組結直腸腫瘤檢齣率均顯著高于相應對照組.結論 上消化道腺瘤的患者結直腸腫瘤的檢齣率較高,建議及時行結腸鏡檢查.
목적 평고상소화도선류환자중결직장종류(선류화암)적환병정황.방법 회고성분석2007년지2011년소화내경검사적환자,선취경병리증실위상소화도선류병차행결장경검사적39례작위병례조,선취동기행위장경검사이위경시무선류병차성별년령필배적78례작위대조조,비교량조결직장종류환병정황적차이.결과 병례조결직장종류적검출솔위51.3％ (20/39),기중선류적검출솔위38.5％(15/39),암적검출솔위12.8％(5/39).대조조중결직장종류적검출솔위14.1％(11/78),기중선류적검출솔위12.8％(10/78),암적검출솔위1.3％(1/78).병례조결직장종류적검출솔명현고우대조조(P ＜0.001),기중결장선류화결장암적검출솔야균분별고우대조조(50.0％비12.5％화52.2％비15.2％).분별장위、십이지장선류진행단독비교,역발현량조결직장종류검출솔균현저고우상응대조조.결론 상소화도선류적환자결직장종류적검출솔교고,건의급시행결장경검사.
Objective To evaluate the risk of colorectal neoplasia among patients with gastric or duodenal adenoma.Methods We retrospectively reviewed 39 patients with gastric or duodenal adenomas between 2007 and 2011 as the study group.A total of 78 patients without upper gastrointestinal adenomas who underwent colonoscopy were included as a control group.Colonoscopic findings were compared between the two groups.Results Positive finding rate of colorectal neoplasia in study group was 51.3％ (20/39),with adenomas in 38.5％ (15/39) and cancer in 12.8％ (5/39),which were all significantly higher than those of the control group,14.1％ (11/78) ( P ＜ 0.001 ),12.8％ ( 10/78 ) ( P ＜ 0.05 ) and 1.3％ ( 1/78 ) ( P ＜ 0.05),respectively.The results were similar when upper digestive tract was further divided into stomach and duodenum(50.0％ vs.12.5％ and 52.2％ vs.15.2％ ).Conclusion Patients with gastric or duodenal adenomas are at a significantly higher risk for colorectal neoplasia.Colonoscopy should be recommended for these patients.
