摘要
目的分析肛门良性疾病患者术前初次结肠镜检查结直肠息肉检出率及发生结直肠息肉的相关风险因素。方法回顾性分析2019年1月至2019年12月因肛门良性疾病(诊断为混合痔、肛瘘、肛周脓肿、肛裂等)于我科住院手术治疗且初次接受结肠镜检查的717例患者临床资料,分析研究对象息肉检出率,并分析临床有关因素(年龄、性别、有无腹泻史、有无便秘史、有无糖尿病、有无高血压病)与结直肠息肉发生的关系。结果术前接受结肠镜检查的患者共985例,其中初次行结肠镜检查并进镜至回盲部的患者为717例,其中153例患者检出结直肠息肉,检出率为21.3%,患者年龄、性别、有无高血压病、有无糖尿病、有无便秘史与结直肠息肉的发生有关(均P<0.05),有无腹泻史与结直肠息肉的发生无关(P>0.05)。随着年龄增大,结直肠息肉的发生率呈上升趋势。结论男性、30岁以上、有高血压病的肛门良性疾病患者发生结直肠息肉的风险较高,临床医师在诊疗工作当中应注意对这些高风险人群加以重视,当患者具有一项或多项危险因素时,在手术前行结肠镜检查是非常有必要的。
Objectives To analyze the detection rate of colorectal polyps in patients with benign anal diseases undergoing preop⁃erative first-time colonoscopy and risk factors for colorectal polyps.Methods This was a retrospective analysis of 717 patients undergoing first-time colonoscopy before operation for various benign anal diseases(mixed hemorrhoids,anal fistula,perianal ab⁃scess,anal fissure,etc.)at our department between January and December 2019.The detection rate and risk factors for colorec⁃tal polyps were analyzed.Potential risk factors included age,sex,and history of diarrhea,constipation,diabetes mellitus,and hy⁃pertension.Results A total of 985 patients received preoperative colonoscopy,including 717 patients in whom the first time colo⁃noscopy reached the ileocecal region for.Among those patients,153 patients were found to have colorectal polyps with a detec⁃tion rate of 21.3%.Colorectal polyps were significantly associated with age,sex,history of hypertension,diabetes mellitus and constipation(P<0.05).History of diarrhea was not associated with colorectal polyps(P>0.05).Conclusion For benign anal diseas⁃es,male patients,who are over 30 years old and have a history of hypertension are at risk for colorectal polyps.Attention should be given to these patients in clinical practice.Preoperative colonoscopy is indicated when the patient has one or more risk factors.
作者
黄晓琳
陶冉
许愿
许曼
吴人杰
龚恬韵
李志成
吴炯
Huang Xiaolin;Tao Ran;Xu Yuan;Xu Man;Wu Renjie;Gong Tianyun;Li Zhicheng;Wu Jiong(Department of Anorectal Diseases,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)
出处
《结直肠肛门外科》
2020年第6期679-682,共4页
Journal of Colorectal & Anal Surgery
基金
上海市科学技术委员会科研计划项目(18401904100)
上海中医药大学附属岳阳中西医结合医院院级基金(2018YJ14)。
作者简介
通信作者:吴炯,副主任医师,副教授,医学博士,硕士研究生导师。擅长肛门直肠良性疾病的微创治疗,内镜下结直肠良性息肉(早癌)、功能性便秘及炎性肠病的中西医诊治。英国St.Mark’s医院访问学者,上海市卫生局首批优秀青年医师,上海市“杏林新星”人才培养项目入选成员。担任中国医师协会外科医师分会肛肠专科医师委员会委员、中医药高等教育学会临床教育研究会肛肠分会委员、中国中西医结合学会消化内镜学专业委员会委员等职务。主持、参与包括国家自然科学基金在内的各级各类课题10余项。发表SCI论文5篇,核心期刊论文20余篇,授权专利5项,E-mail:tcmoctober9@163.com。
