国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
19期
2824-2827
,共4页
结肠镜%筛查%健康体检%结直肠病变%应用研究
結腸鏡%篩查%健康體檢%結直腸病變%應用研究
결장경%사사%건강체검%결직장병변%응용연구
Colonoscopy%Screening%Health examination%Colorectal neoplasms%Application research
目的 探讨结肠镜检查在筛查健康体检人群中结直肠病变的应用效果.方法 选取佛山市第一人民医院体检中心于2014年1月至2015年3月进行健康体检的510名体检者,均接受结肠镜检查,研究体检者性别、年龄等分布情况,此外还包括各种结直肠疾病的患病率和病变部位等分布情况.结果 经过结肠镜检查后,无明显异常人数310例(60.78％),结直肠息肉80例(15.69％),进展期息肉16例(3.14％),腺瘤85例(16.67％),直肠癌2例(0.39％),结直肠炎症17例(3.33％).发病部位远端结肠有58例(60.42％),明显高于近端结肠22例(22.92％)和近端+远端结肠16例(16.66％),差异有统计学意义(P<0.05).结直肠病变检出率随着年龄增长而逐渐升高,≥60岁人群该病发生率(65.57％)明显高于50～60岁人群(50.00％)、40～50岁人群(20.89％)和< 40岁的人群(11.37％),差异有统计学意义(P<0.05).结论 对健康体检人群通过结肠镜检查来筛查结直肠病变,可提高疾病检出率,延长患者生命,降低死亡率,为城市居民开展恶性肿瘤的二级预防工作奠定良好的基础.
目的 探討結腸鏡檢查在篩查健康體檢人群中結直腸病變的應用效果.方法 選取彿山市第一人民醫院體檢中心于2014年1月至2015年3月進行健康體檢的510名體檢者,均接受結腸鏡檢查,研究體檢者性彆、年齡等分佈情況,此外還包括各種結直腸疾病的患病率和病變部位等分佈情況.結果 經過結腸鏡檢查後,無明顯異常人數310例(60.78％),結直腸息肉80例(15.69％),進展期息肉16例(3.14％),腺瘤85例(16.67％),直腸癌2例(0.39％),結直腸炎癥17例(3.33％).髮病部位遠耑結腸有58例(60.42％),明顯高于近耑結腸22例(22.92％)和近耑+遠耑結腸16例(16.66％),差異有統計學意義(P<0.05).結直腸病變檢齣率隨著年齡增長而逐漸升高,≥60歲人群該病髮生率(65.57％)明顯高于50～60歲人群(50.00％)、40～50歲人群(20.89％)和< 40歲的人群(11.37％),差異有統計學意義(P<0.05).結論 對健康體檢人群通過結腸鏡檢查來篩查結直腸病變,可提高疾病檢齣率,延長患者生命,降低死亡率,為城市居民開展噁性腫瘤的二級預防工作奠定良好的基礎.
목적 탐토결장경검사재사사건강체검인군중결직장병변적응용효과.방법 선취불산시제일인민의원체검중심우2014년1월지2015년3월진행건강체검적510명체검자,균접수결장경검사,연구체검자성별、년령등분포정황,차외환포괄각충결직장질병적환병솔화병변부위등분포정황.결과 경과결장경검사후,무명현이상인수310례(60.78％),결직장식육80례(15.69％),진전기식육16례(3.14％),선류85례(16.67％),직장암2례(0.39％),결직장염증17례(3.33％).발병부위원단결장유58례(60.42％),명현고우근단결장22례(22.92％)화근단+원단결장16례(16.66％),차이유통계학의의(P<0.05).결직장병변검출솔수착년령증장이축점승고,≥60세인군해병발생솔(65.57％)명현고우50～60세인군(50.00％)、40～50세인군(20.89％)화< 40세적인군(11.37％),차이유통계학의의(P<0.05).결론 대건강체검인군통과결장경검사래사사결직장병변,가제고질병검출솔,연장환자생명,강저사망솔,위성시거민개전악성종류적이급예방공작전정량호적기출.
Objective To analyze and study the effect of colonoscopy for screening colorectal lesion in people undergoing health examination.Methods 510 examinees undergoing health examination at our center from January, 2014 to March, 2015 were selected and examined with colonoscopy.The distribution of gender, age, etc., and the morbidity of all kinds of colorectal diseases and lesion sites etc.were studied.Results After colonoscopic examination, 310(60.78％) showed no obvious abnormalness, 80 (15.69％) had colorectal polyps, 16(3.14％) advanced polyps, 85(16.67％) adenoma, 2(0.39％) rectal cancer, and 17(3.33％) colitis disease.58 cases' (60.42％) lesion site was in distal colon, which was significantly higher than that in proximal colon(22 cases,22.92％) and proximal + distal colon (16 cases,16.66％).Colorectal lesion detection rate gradually increased with age;the incidence of colorectal lesion was significantly higher in ones ≥ 60 years old(65.57％) than in ones 50-60 (50.00％), 40-50 (20.89％), and <40 (11.37％) years old.Conclusions Colonoscopy for screening colorectal lesion in people undergoing health examination can improve the detection rate, prolong the patients life, and decrease the mortality.It can build a good foundation for the secondary prevention of cancer for urban residents.
