CAJ | 학술논문

目的分析电子直乙结肠镜在健康体检中的检查结果.方法对我院体检中心2010年5月至2013年12月30 250名健康体检者(其中男性18 842名,女性11 408名)电子直乙结肠镜检查筛查出的直肠及乙状结肠疾病检出率进行回顾性分析.研究中计数资料的描述采用2×C表线性回归的x2检验.结果在电子直乙结肠镜检查中发现疾病22 035名,检出率为72.84％,其中常见疾病如下:痔疮55.57％(16 810/30 250),直肠息肉10.57％(3 196/30 250),肛乳头肥大5.03％(1 523/30 250),直肠炎0.69％(210/30 250),肛裂0.54％(162/30 250),直肠黑变病0.29％(87/30 250),直肠癌0.09％(28/30 250),肛管息肉0.04％(13/30 250),肛瘘0.02％(6/30 250).男性直乙结肠息肉检出率13.09％,女性直肠息肉检出率6.04％;男性直乙结肠癌检出率0.12％,女性直肠癌检出率0.05％.结论电子直乙结肠镜检查对直肠息肉、直肠癌、直肠黑变病、直肠炎的检出率高于肛门指诊.
목적 분석전자직을결장경재건강체검중적검사결과.방법 대아원체검중심2010년5월지2013년12월30 250명건강체검자(기중남성18 842명,녀성11 408명)전자직을결장경검사사사출적직장급을상결장질병검출솔진행회고성분석.연구중계수자료적묘술채용2×C표선성회귀적x2검험.결과 재전자직을결장경검사중발현질병22 035명,검출솔위72.84％,기중상견질병여하:치창55.57％(16 810/30 250),직장식육10.57％(3 196/30 250),항유두비대5.03％(1 523/30 250),직장염0.69％(210/30 250),항렬0.54％(162/30 250),직장흑변병0.29％(87/30 250),직장암0.09％(28/30 250),항관식육0.04％(13/30 250),항루0.02％(6/30 250).남성직을결장식육검출솔13.09％,녀성직장식육검출솔6.04％;남성직을결장암검출솔0.12％,녀성직장암검출솔0.05％.결론 전자직을결장경검사대직장식육、직장암、직장흑변병、직장염적검출솔고우항문지진.
Objective To investigate the value of electronic rectosigmoidoscopy in health examinations.Methods Based on retrospective analysis of 30 250 patients who received electronic rectosigmoidoscopy in the Physical Examination Center of our hospital from May 2010 to Dec.2013,the incidence of anal disease and sigmoid colon disease were analyzed.Results The highest detection rate of common diseases was hemorrhoids,followed by proctopolyps,hypertrophy of anal papilla,proctitis,anal fissure,melanosis coli and colonic tumor.The detectable rate of them were 55.57％ (16 810/30 250),10.57％ (3 196/30 250),5.03％ (1 523/30 250),0.69％ (210/30 250),0.54％ (162/30 250),0.29％ (87/30 250),0.09％ (28/30 250),0.04％ (13/30 250),0.02％ (6/30 250).Conclusion Electronic colonoscopy for colorectal polyps,rectal cancer,colon melanosis and proctitis detection rate was significantly higher than the anus digital rectal examination,the difference is statistically significant,and it also has merits of simplicity,noninvasiveness and rapidity.