摘要
目的探讨结肠镜对于结直肠息肉/腺瘤的诊断及其影响因素。方法以自2017年1月1日至2019年12月31日北京大学国际医院行结肠镜检查的病人为对象,记录患者的性别、年龄、是否麻醉、肠道清洁度情况、进镜时间、检查医师、息肉/腺瘤诊断情况。应用单因素卡方检验,分析息肉/腺瘤检出率和上述因素的关系,再进行Logistic多因素分析得出息肉/腺瘤检出率的独立危险因素。结果共有6679例患者纳入研究,男性3297例,女性3382例,年龄55.98±9.79岁,结肠息肉检出率为47.25%,结肠腺瘤检出率为30.93%,单因素分析显示性别、年龄分层、麻醉状态、肠道清洁度、进镜时间以及检查医师经验影响结直肠腺瘤检出率,多因素分析显示患者性别、年龄、肠道清洁度、进镜时间及检查医师经验是结直肠腺瘤检出率的影响因素。结论患者性别、年龄与结肠息肉/腺瘤检出有关,需要做好肠道准备、提高医师检查经验,以提高结肠息肉/腺瘤检出率。
Objective To explore the diagnosis of colorectal polyps/adenomas by colonoscopy and its influencing factors.Methods Patients who underwent colonoscopy at Peking University International Hospital from January 1,2017 to December 31,2019 were selected as study subjects.Gender,age,anesthesia,intestinal cleanliness,time of admission,examining physician,and diagnosis of polyps/adenomas were recorded.Univariate Chi-square test was used to analyze the relationship between the detection rate of polyps/adenomas and the above factors,and then the independent risk factors affecting the detection rate of polyps/adenomas were identified by Logistic multivariate analysis.Results A total of 6679 patients were included in the study,including 3297 males and 3382 females,aged 55.98±9.79 years.The detection rate for colon polyps was 47.25%,and the detection rate for colorectal adenomas was 30.93%.Univariate analysis showed that gender,age group,anesthesia,intestinal cleanliness,time of endoscopic examination,and experience of examining physician affected the detection rate for colorectal adenomas.Multivariate analysis showed that gender,age,intestinal cleanliness,time of endoscopic examination,and experience of examining physician were factors affecting the detection rate of colorectal adenomas.Conclusion The gender and age of patients are related to the detection of colon polyps/adenomas.It is necessary to make good bowel preparation and improve the experience of examining doctors,so as to improve the detection rate for colon polyps/adenomas.
作者
丁一鸣
白鹏
张蕾
李欣
杨雪松
曾冉冉
范雪
王妍
王丽
林香春
DingYiming;Bai Peng;Zhang Lei;Li Xin;Yang Xuesong;Zeng Ranran;Fan Xue;Wang Yan;Wang Li;Lin Xiangchun(Department of Gastroenterology,Peking University International Hospital,Beijing 1000000,China)
出处
《中华临床医师杂志（电子版）》
CAS
北大核心
2022年第10期989-994,共6页
Chinese Journal of Clinicians(Electronic Edition)
关键词
结直肠息肉
腺瘤
麻醉
肠镜
检出率
Colorectal polyps
Adenomas
Anesthesia
Colonoscopy
Rate of detection
作者简介
通信作者:林香春,Email:linxiangchun@pkuih.edu.cn
