中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2014年
1期
47-50
,共4页
万星阳%林晓松%胡邦%任东林%谢尚奎%彭慧
萬星暘%林曉鬆%鬍邦%任東林%謝尚奎%彭慧
만성양%림효송%호방%임동림%사상규%팽혜
肛门良性疾病%结肠疾病%直肠疾病%结肠镜检查%诊断
肛門良性疾病%結腸疾病%直腸疾病%結腸鏡檢查%診斷
항문량성질병%결장질병%직장질병%결장경검사%진단
Benign anal diseases%Colonic diseases%Rectal diseases%Colonoscopy%Diagnosis
目的 探讨肛门良性疾病患者术前应用全结肠镜检查的临床意义,比较无痛结肠镜检查和普通结肠镜检查的成功率.方法 回顾性分析2010年4月至2011年3月中山大学附属第六医院收治的术前行全结肠镜检查的333例肛门良性疾病患者的临床资料.结肠镜检查发现结直肠病变患者为病变组(120例),未发现结直肠病变患者为正常组(213例).根据结肠镜检查结果及检查方式进行分层分析.计量资料比较采用t检验,计数资料比较采用x2检验.结果 病变组患者的年龄为(48±14)岁,显著高于正常组的(42±14)岁,两组比较,差异有统计学意义(=3.75,P<0.05).病变组40岁以上患者的构成比为72.50%(87/120),显著高于正常组的39.44%(84/213),两组比较,差异有统计学意义(x2=33.59,P<0.05).病变组男、女患者构成比分别为71.67%(86/120)和28.33% (34/120),正常组分别为62.44%(133/213)和37.56%(80/213),两组比较,差异无统计学意义(x2=2.90,P>0.05).病变组结直肠病变包括息肉80例、肠炎30例、恶性肿瘤7例、炎性肠病7例、憩室5例、溃疡1例.无痛结肠镜在病变组和正常组中的应用率分别为51.67%(62/120)和54.93%(117/213),两组比较,差异无统计学意义(x2=0.33,P>0.05).无痛结肠镜检查到达回肠末段的成功率为99.44%(178/179),显著高于普通结肠镜检查的95.45%(147/154),两者比较,差异有统计学意义(x2=5.61,P<0.05).结论 肛门良性疾病患者可能合并结直肠病变,建议40岁以上患者术前行无痛全结肠镜检查.
目的 探討肛門良性疾病患者術前應用全結腸鏡檢查的臨床意義,比較無痛結腸鏡檢查和普通結腸鏡檢查的成功率.方法 迴顧性分析2010年4月至2011年3月中山大學附屬第六醫院收治的術前行全結腸鏡檢查的333例肛門良性疾病患者的臨床資料.結腸鏡檢查髮現結直腸病變患者為病變組(120例),未髮現結直腸病變患者為正常組(213例).根據結腸鏡檢查結果及檢查方式進行分層分析.計量資料比較採用t檢驗,計數資料比較採用x2檢驗.結果 病變組患者的年齡為(48±14)歲,顯著高于正常組的(42±14)歲,兩組比較,差異有統計學意義(=3.75,P<0.05).病變組40歲以上患者的構成比為72.50%(87/120),顯著高于正常組的39.44%(84/213),兩組比較,差異有統計學意義(x2=33.59,P<0.05).病變組男、女患者構成比分彆為71.67%(86/120)和28.33% (34/120),正常組分彆為62.44%(133/213)和37.56%(80/213),兩組比較,差異無統計學意義(x2=2.90,P>0.05).病變組結直腸病變包括息肉80例、腸炎30例、噁性腫瘤7例、炎性腸病7例、憩室5例、潰瘍1例.無痛結腸鏡在病變組和正常組中的應用率分彆為51.67%(62/120)和54.93%(117/213),兩組比較,差異無統計學意義(x2=0.33,P>0.05).無痛結腸鏡檢查到達迴腸末段的成功率為99.44%(178/179),顯著高于普通結腸鏡檢查的95.45%(147/154),兩者比較,差異有統計學意義(x2=5.61,P<0.05).結論 肛門良性疾病患者可能閤併結直腸病變,建議40歲以上患者術前行無痛全結腸鏡檢查.
목적 탐토항문량성질병환자술전응용전결장경검사적림상의의,비교무통결장경검사화보통결장경검사적성공솔.방법 회고성분석2010년4월지2011년3월중산대학부속제륙의원수치적술전행전결장경검사적333례항문량성질병환자적림상자료.결장경검사발현결직장병변환자위병변조(120례),미발현결직장병변환자위정상조(213례).근거결장경검사결과급검사방식진행분층분석.계량자료비교채용t검험,계수자료비교채용x2검험.결과 병변조환자적년령위(48±14)세,현저고우정상조적(42±14)세,량조비교,차이유통계학의의(=3.75,P<0.05).병변조40세이상환자적구성비위72.50%(87/120),현저고우정상조적39.44%(84/213),량조비교,차이유통계학의의(x2=33.59,P<0.05).병변조남、녀환자구성비분별위71.67%(86/120)화28.33% (34/120),정상조분별위62.44%(133/213)화37.56%(80/213),량조비교,차이무통계학의의(x2=2.90,P>0.05).병변조결직장병변포괄식육80례、장염30례、악성종류7례、염성장병7례、게실5례、궤양1례.무통결장경재병변조화정상조중적응용솔분별위51.67%(62/120)화54.93%(117/213),량조비교,차이무통계학의의(x2=0.33,P>0.05).무통결장경검사도체회장말단적성공솔위99.44%(178/179),현저고우보통결장경검사적95.45%(147/154),량자비교,차이유통계학의의(x2=5.61,P<0.05).결론 항문량성질병환자가능합병결직장병변,건의40세이상환자술전행무통전결장경검사.
Objective To investigate the clinical significance of preoperative colonoscopy for patients with benign anal diseases,and to compare the success rates of examination done by sedated colonoscopy and conventional colonoscopy.Methods The clinical data of 333 patients with benign anal disease who received preoperative colonoscopy at the Six Affiliated Hospital of Sun Yat-Sen University from April 2010 to March 2011 were retrospectively analyzed.All the patients were divided into the lesion group (120 patients) and normal group (213 patients)according to the results of colonoscopy.The measurement data and count data were analyzed using the t test and chi-square test,respectively.Results The age of patients in the lesion group was (48 ± 14) years,which was significantly older than (42 ± 14) years (t =3.75,P < 0.05).The constituent ratio of patients older than 40 years in the lesion group was 72.50% (87/120),which was significantly higher than 39.44% (84/213) in the normal group (x2=33.59,P <0.05).The proportions of male and female patients were 71.67% (86/120) and 28.33% (34/120) in the lesion group,and 62.44% (133/213) and 37.56% (80/213) in the normal group,with no significant difference between the 2 groups (x2 =2.90,P > 0.05).The benign anal diseases in the lesion group included polyp (80 cases),enteritis (30 cases),malignant tumor (7 cases),infflammatory bowel disease (7 cases),diverticulum (5 cases) and ulcer (1 case).The application rates of sedated colonoscopy in the lesion group and the normal goup were 51.67% (62/120) and 54.93% (117/213),respectively,with no significant difference between the 2 groups (x2=0.33,P >0.05).The success rate of terminal ileum intubation was 99.44% (178/179) in patients who received sedated colonoscopy,which was significantly higher than 95.45% (147/154) of patients who received conventional colonoscopy (x2 =5.61,P < 0.05).Conclusion Patients with benign anal disease might complicated with colorectal lesions,and sedated colonoscopy is recommended for preoperative diagnosis,especially for patients who are older than 40 years.