中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2012年
5期
272-275
,共4页
吴军%钱家鸣%盖小荣%姚方%王振捷%赵莉%李景南
吳軍%錢傢鳴%蓋小榮%姚方%王振捷%趙莉%李景南
오군%전가명%개소영%요방%왕진첩%조리%리경남
结肠息肉%结肠镜%普查%健康体检
結腸息肉%結腸鏡%普查%健康體檢
결장식육%결장경%보사%건강체검
Colonic polyps%Colonoscopes%Mass screening%Health examination
目的 探讨健康人群体检时进行结肠镜检查的意义.方法 选取北京协和医院体检中心于2010年1月至2011年6月期间接受结肠镜检查的健康体检者537例,其中529例成功接受了全结肠镜检查.统计受检者的性别、年龄、病变检出情况,包括检出率、类型、部位,并分析息肉检出率、病变部位与年龄和性别间的关系.结果 529例受检者中男315例、女214例,平均年龄(48.3±9.3)岁,检出肠息肉104例(19.7％),其中进展期息肉17例(3.2％),腺瘤84例(15.9％),直肠癌1例(0.2％),痔疮61例(11.5％),结直肠炎症22例(4.2％).结直肠息肉在男性中的检出率显著高于女性(P＜0.001).年龄≥50岁者结直肠息肉和进展期息肉的检出率均明显升高(P＜0.001,P＜0.05).共检出息肉158枚,以＜0.5 cm、管状腺瘤居多.随年龄增长,近端结肠息肉患者的比例增多,而远端结肠息肉患者的比例减少(P＜0.05).结论 结肠镜检查是筛查健康体检人群结直肠病变的有效手段,重视体检人群的结肠镜检查有助于结直肠癌的早发现早治疗.
目的 探討健康人群體檢時進行結腸鏡檢查的意義.方法 選取北京協和醫院體檢中心于2010年1月至2011年6月期間接受結腸鏡檢查的健康體檢者537例,其中529例成功接受瞭全結腸鏡檢查.統計受檢者的性彆、年齡、病變檢齣情況,包括檢齣率、類型、部位,併分析息肉檢齣率、病變部位與年齡和性彆間的關繫.結果 529例受檢者中男315例、女214例,平均年齡(48.3±9.3)歲,檢齣腸息肉104例(19.7％),其中進展期息肉17例(3.2％),腺瘤84例(15.9％),直腸癌1例(0.2％),痔瘡61例(11.5％),結直腸炎癥22例(4.2％).結直腸息肉在男性中的檢齣率顯著高于女性(P＜0.001).年齡≥50歲者結直腸息肉和進展期息肉的檢齣率均明顯升高(P＜0.001,P＜0.05).共檢齣息肉158枚,以＜0.5 cm、管狀腺瘤居多.隨年齡增長,近耑結腸息肉患者的比例增多,而遠耑結腸息肉患者的比例減少(P＜0.05).結論 結腸鏡檢查是篩查健康體檢人群結直腸病變的有效手段,重視體檢人群的結腸鏡檢查有助于結直腸癌的早髮現早治療.
목적 탐토건강인군체검시진행결장경검사적의의.방법 선취북경협화의원체검중심우2010년1월지2011년6월기간접수결장경검사적건강체검자537례,기중529례성공접수료전결장경검사.통계수검자적성별、년령、병변검출정황,포괄검출솔、류형、부위,병분석식육검출솔、병변부위여년령화성별간적관계.결과 529례수검자중남315례、녀214례,평균년령(48.3±9.3)세,검출장식육104례(19.7％),기중진전기식육17례(3.2％),선류84례(15.9％),직장암1례(0.2％),치창61례(11.5％),결직장염증22례(4.2％).결직장식육재남성중적검출솔현저고우녀성(P＜0.001).년령≥50세자결직장식육화진전기식육적검출솔균명현승고(P＜0.001,P＜0.05).공검출식육158매,이＜0.5 cm、관상선류거다.수년령증장,근단결장식육환자적비례증다,이원단결장식육환자적비례감소(P＜0.05).결론 결장경검사시사사건강체검인군결직장병변적유효수단,중시체검인군적결장경검사유조우결직장암적조발현조치료.
Objective To explore the significance of colonoscopy examination in healthy subjects.Methods A total of 537 health examination cases who underwent colonoscopy from January 2010 to June 2011 in Peking Union Medical College Hospital (PUMCH) health examination center were enrolled,in which 529 cases underwent total colonoscopy.Detection of colorectal lesion,polyp types and pathology were recorded and the correlation between detection rate of polyps,lesion sites and ages as well as gender were analyzed.Results There were 315 male and 214 female,with a mean age of 48.3 ± 9.3 years.A total of 158 colorectal polyps were detected in 104 cases ( 19.7％ ),including 84 ( 15.9％ ) adenomas,17 (3.2％ ) advanced polyps and 1 (0.2％ ) rectal cancer.Other abnormalities were hemorrhoids in 61 cases ( 11.5％ )and inflammation in 22 (4.2％ ).Colorectal polyps were more frequent in men (P ＜0.001 ).Adults older than 50 had higher rates of colorectal polyps (P ＜0.001 ) and advanced polyps ( P ＜0.05).The proportion of patients with proximal polyps increased with age,whereas that of patients with distal polyps decreased with age ( P ＜0.05).Conclusion Colonoscopy is an effective screening modality for colorectal lesions and the importance of colonoscopy on health examination population to prevent colorectal cancer should be stressed.
