临床荟萃
臨床薈萃
림상회췌
CLINICAL FOCUS
2015年
1期
25-29
,共5页
何娜娜%曹海龙%朴美玉%齐艳荣%王邦茂
何娜娜%曹海龍%樸美玉%齊豔榮%王邦茂
하나나%조해룡%박미옥%제염영%왕방무
肠肿瘤%腺癌%病理状态,体征和症状%结肠镜检查
腸腫瘤%腺癌%病理狀態,體徵和癥狀%結腸鏡檢查
장종류%선암%병리상태,체정화증상%결장경검사
intestinal neoplasms%adenocarcinoma%clinical symptoms%pathological conditions,signs and symptoms%colonoscopy
目的：探讨青年结直肠腺瘤的临床、内镜及病理特征。方法总结分析天津医科大学总医院144例青年患者（≤35岁）结直肠腺瘤的临床、内镜及病理特征。结果收集青年结直肠腺瘤144例，年龄14～35岁，平均（29．5±4．8）岁，男∶女＝1．7∶1（91∶53）；结直肠腺瘤检出率3．1％（200／6446），低于中老年组17．8％（4155／23306）；61．8％（89／144）的腺瘤位于左半结肠，26．4％（38／144）位于右半结肠。高危腺瘤所占比例为36．1％（52／144），锯齿状腺瘤占全部腺瘤的比例高于中老年组[4．1％（6／144）vs 1．0％（3／288）]（P ＜0．05）。结论青年结直肠腺瘤检出率低于中老年患者，但高危腺瘤仍高达36．1％，而且右半结肠腺瘤比例同样较高，因此对有症状的青年患者应尽早行全结肠镜检查。另外，青年患者锯齿状腺瘤比例较高，应引起内镜医师足够重视。
目的：探討青年結直腸腺瘤的臨床、內鏡及病理特徵。方法總結分析天津醫科大學總醫院144例青年患者（≤35歲）結直腸腺瘤的臨床、內鏡及病理特徵。結果收集青年結直腸腺瘤144例，年齡14～35歲，平均（29．5±4．8）歲，男∶女＝1．7∶1（91∶53）；結直腸腺瘤檢齣率3．1％（200／6446），低于中老年組17．8％（4155／23306）；61．8％（89／144）的腺瘤位于左半結腸，26．4％（38／144）位于右半結腸。高危腺瘤所佔比例為36．1％（52／144），鋸齒狀腺瘤佔全部腺瘤的比例高于中老年組[4．1％（6／144）vs 1．0％（3／288）]（P ＜0．05）。結論青年結直腸腺瘤檢齣率低于中老年患者，但高危腺瘤仍高達36．1％，而且右半結腸腺瘤比例同樣較高，因此對有癥狀的青年患者應儘早行全結腸鏡檢查。另外，青年患者鋸齒狀腺瘤比例較高，應引起內鏡醫師足夠重視。
목적：탐토청년결직장선류적림상、내경급병리특정。방법총결분석천진의과대학총의원144례청년환자（≤35세）결직장선류적림상、내경급병리특정。결과수집청년결직장선류144례，년령14～35세，평균（29．5±4．8）세，남∶녀＝1．7∶1（91∶53）；결직장선류검출솔3．1％（200／6446），저우중노년조17．8％（4155／23306）；61．8％（89／144）적선류위우좌반결장，26．4％（38／144）위우우반결장。고위선류소점비례위36．1％（52／144），거치상선류점전부선류적비례고우중노년조[4．1％（6／144）vs 1．0％（3／288）]（P ＜0．05）。결론청년결직장선류검출솔저우중노년환자，단고위선류잉고체36．1％，이차우반결장선류비례동양교고，인차대유증상적청년환자응진조행전결장경검사。령외，청년환자거치상선류비례교고，응인기내경의사족구중시。
ABSTRACT:Objective To explore the clinical,endoscopic and pathological characteristics of young patients with colorectal adenomas.Methods We analyzed the clinical,endoscopic and pathological characteristics of 144 young (under 35 years old)patients with colorectal adenoma from Tianjin Medical University General Hospital.Results A total of 144 patients with colorectal adenoma aged from 14 to 35 years old (average 29.5±4.8 years old)were brought into this study.The ratio of male to female was 1.7∶1 (91∶53).The detection rate of colorectal adenoma (3.1%, 200/6 446)was lower than that of the aged group (17.8%,4 155/23 306).61.8%(89/144)of the adenoma was found in left colon and 26.4%(38/144)located in right colon.High-risk adenoma accounted for 36.1% (52/144)in total adenoma.The percentage of serrated adenoma in total adenoma was higher than that in the aged group (4.1%,6/144 vs 1.0%,3/288,P <0.05).Conclusion The detection rate of colorectal adenoma in young patients was lower than that in the aged patients,but high-risk adenoma accounted for 36.1%,and the percentage of adenoma in right colon was also higher,so young patients with symptoms should undergo overall colonoscopy as early as possible.Otherwise, endoscopic physicians should pay enough attention to young patients whose percentage of serrated adenoma was higher.
