中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2014年
2期
64-68
,共5页
赵子夜%李骏强%单永琪%闫飞虎%王颢%楼征%傅传刚%于恩达
趙子夜%李駿彊%單永琪%閆飛虎%王顥%樓徵%傅傳剛%于恩達
조자야%리준강%단영기%염비호%왕호%루정%부전강%우은체
肠息肉%结肠镜检查%人群监测%筛查%腺瘤检出率%肠道准备
腸息肉%結腸鏡檢查%人群鑑測%篩查%腺瘤檢齣率%腸道準備
장식육%결장경검사%인군감측%사사%선류검출솔%장도준비
Intestinal polyps%Colonoscopy%Population surveillance%Screening%Adenoma detection rate%Bowel preparation
目的 探讨我国结直肠癌平均风险人群结肠镜检查中的息肉检出率和腺瘤检出率及其年龄分布情况,为确定我国结直肠癌筛查起始年龄提供线索和数据支持.方法 采用回顾性分析方法,调取2010年3月至2013年2月间进行“体检肠镜”检查的患者资料,按照不同性别、年龄组、肠道准备质量分别计算息肉检出率和腺瘤检出率.各组间率比较采用x2检验.结果 共有1928例患者完成体检全结肠镜检查.总的息肉检出率为19.55％[95％ CI(17.78％～21.32％)],男性为23.87％,女性为10.00％.40～ 70岁各年龄组息肉检出率男性均显著高于女性(P＜0.05).总的腺瘤检出率为11.48％[95％ CI(9.69％～13.28％)],男性为14.68％,女性为5.11％.40 ～ 70岁各年龄组腺瘤检出率男性均显著高于女性(P＜0.05).肠道准备优良组息肉检出率显著优于较差组(P＜0.05).结论 息肉检出率和腺瘤检出率均随年龄增长而提高,男性较之女性有更大的息肉、腺瘤发生风险.肠道准备质量对息肉检出率有直接的影响.
目的 探討我國結直腸癌平均風險人群結腸鏡檢查中的息肉檢齣率和腺瘤檢齣率及其年齡分佈情況,為確定我國結直腸癌篩查起始年齡提供線索和數據支持.方法 採用迴顧性分析方法,調取2010年3月至2013年2月間進行“體檢腸鏡”檢查的患者資料,按照不同性彆、年齡組、腸道準備質量分彆計算息肉檢齣率和腺瘤檢齣率.各組間率比較採用x2檢驗.結果 共有1928例患者完成體檢全結腸鏡檢查.總的息肉檢齣率為19.55％[95％ CI(17.78％～21.32％)],男性為23.87％,女性為10.00％.40～ 70歲各年齡組息肉檢齣率男性均顯著高于女性(P＜0.05).總的腺瘤檢齣率為11.48％[95％ CI(9.69％～13.28％)],男性為14.68％,女性為5.11％.40 ～ 70歲各年齡組腺瘤檢齣率男性均顯著高于女性(P＜0.05).腸道準備優良組息肉檢齣率顯著優于較差組(P＜0.05).結論 息肉檢齣率和腺瘤檢齣率均隨年齡增長而提高,男性較之女性有更大的息肉、腺瘤髮生風險.腸道準備質量對息肉檢齣率有直接的影響.
목적 탐토아국결직장암평균풍험인군결장경검사중적식육검출솔화선류검출솔급기년령분포정황,위학정아국결직장암사사기시년령제공선색화수거지지.방법 채용회고성분석방법,조취2010년3월지2013년2월간진행“체검장경”검사적환자자료,안조불동성별、년령조、장도준비질량분별계산식육검출솔화선류검출솔.각조간솔비교채용x2검험.결과 공유1928례환자완성체검전결장경검사.총적식육검출솔위19.55％[95％ CI(17.78％～21.32％)],남성위23.87％,녀성위10.00％.40～ 70세각년령조식육검출솔남성균현저고우녀성(P＜0.05).총적선류검출솔위11.48％[95％ CI(9.69％～13.28％)],남성위14.68％,녀성위5.11％.40 ～ 70세각년령조선류검출솔남성균현저고우녀성(P＜0.05).장도준비우량조식육검출솔현저우우교차조(P＜0.05).결론 식육검출솔화선류검출솔균수년령증장이제고,남성교지녀성유경대적식육、선류발생풍험.장도준비질량대식육검출솔유직접적영향.
Objective To evaluate the colonoscopic polyp detection rate (PDR) and adenoma detection rate (ADR) in average risk population of colorectal cancer and its age distribution,and to provide evidence for determining the starting age for screening colonoscopy in China.Methods Retrospective analysis was applied.Data of patients who received screening colonoscopy in the Digestive Endoscopic Center of Changhai Hospital from March 2010 to February 2013 were collected.PDR and ADR were calculated by different genders,age groups and bowel preparation scores.Thex2 test was used to compare the PDR and ADR between different groups.Results A total of 1 928 patients received complete colonoscopies.The total PDR was 19.55％ [95％ CI(17.78％-21.32％)],23.87％ and 10.00％ for men and women respectively.PDR of men was significantly higher than that of women among 40 to 70-year groups (P ＜ 0.05).The total ADR was 11.48％ [95％CI(9.69％-13.28％)],14.68％ and 5.11％ for men and women respectively.ADR of men was significantly higher than that of women among 40 to 70-year groups (P ＜ 0.05).The PDR of well preparation group was significantly higher than that of compromised preparation group (P ＜0.05).Conclusion Both PDR and ADR increase with age.And men have greater risk to develop polyps and adenomas than women.The quality of bowel preparation is directly related to PDR.
