CAJ | 학술논문

目的：探索云南通海地区居民肠道疾患的流行病学特点，为今后的肠镜普查提供依据。方法在我院对口支援云南省通海县中医院期间，针对有下消化道症状的肛肠科就诊患者279例进行结肠镜检查，并对检查结果进行统计学分析及回顾性研究。结果在完成的279例结肠镜检查患者中，检出大肠癌23例，男性9．36％（16/171），女性6．48％（7/108），男性和女性检出率差异有统计学意义（P＜0．05），青年和中老年检出率差异有统计学意义（P＜0．05）；检出大肠息肉57例，男性23．98％（41/171），女性14．81％（16/108），男性和女性检出率差异有统计学意义（P＜0．05），青年和中老年检出率差异有统计学意义（P＜0．05）；检出炎症性肠病75例，男性26．9％（46/171），女性26．85％（29/108），男性和女性检出率差异无统计学意义（P＞0．05）；检出结肠黑变病12例，男性3．51％（6/171），女性5．56％（6/108），男性和女性检出率差异有统计学意义（P＜0．05）。结论年龄在40岁以上且存在下消化道症状的中老年患者进行结肠镜检查是十分必要的，并能有效降低大肠癌的漏诊率。
목적：탐색운남통해지구거민장도질환적류행병학특점，위금후적장경보사제공의거。방법재아원대구지원운남성통해현중의원기간，침대유하소화도증상적항장과취진환자279례진행결장경검사，병대검사결과진행통계학분석급회고성연구。결과재완성적279례결장경검사환자중，검출대장암23례，남성9．36％（16/171），녀성6．48％（7/108），남성화녀성검출솔차이유통계학의의（P＜0．05），청년화중노년검출솔차이유통계학의의（P＜0．05）；검출대장식육57례，남성23．98％（41/171），녀성14．81％（16/108），남성화녀성검출솔차이유통계학의의（P＜0．05），청년화중노년검출솔차이유통계학의의（P＜0．05）；검출염증성장병75례，남성26．9％（46/171），녀성26．85％（29/108），남성화녀성검출솔차이무통계학의의（P＞0．05）；검출결장흑변병12례，남성3．51％（6/171），녀성5．56％（6/108），남성화녀성검출솔차이유통계학의의（P＜0．05）。결론년령재40세이상차존재하소화도증상적중노년환자진행결장경검사시십분필요적，병능유효강저대장암적루진솔。
Objective To explore the epidemiological features of intestinal diseases in the residents of Yuannan Tonghai region so as to provide the evidence for the general survey of enteroscope.Methods During the time of pairing-assistance in Yunnan Tonghai County Hospital of Traditional Chinese Medicine, 279 outpatients of digestive symptoms received colonoscopy in Anorectal Department.The statistical analysis and retrospective study were conducted on the examination results.Results Of 279 cases with colonoscopy, 23 cases were colorectal cancer,9.36% of which were males(1 6/1 71 )and 6.48% were females(7/1 08), indicating the significant difference(P<0.05).The relevance ratio between the young patients and those of middle and old age was different significantly (P<0.05 ).Fifty seven cases were large intestine polyps, 23.98% of which were males(1 6/1 71 )and 26.85%were females(29/1 08),indicating the significant differ-ence(P<0.05).The relevance ratio between the young patients and those of middle and old age was differ-ent significantly(P<0.05).Seventy five cases were inflammatory bowel disease,26.9%of which were males (46/1 71 )and 26.85% were females(29/1 08),without significant difference(P>0.05).Twelve cases were melanosis coli,3.51%of which were males(6/1 71 )and 5.56%were females(6/1 08),indicating the signif-icant difference(P<0.05).Conclusion It is very necessary for the patients of middle and old age,over 40 years old,with low digestive symptoms to have colonoscopy so as to effectively reduce the missed diagnosis rate of large intestine cancer.