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[1]崔莲,王志津,马建新,等.328例无症状体检者结直肠息肉检出情况分析[J].医学研究与战创伤救治(原医学研究生学报),2016,18(02):125-127.[doi:10.3969/j.issn.1672-271X.2016.02.005]
　CUI Lian,WANG Zhi-jin,MA Jian-xin,et al.Analysis of 328 cases of colorectal polyp inspection results in asymptomatic persons[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(02):125-127.[doi:10.3969/j.issn.1672-271X.2016.02.005]
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328例无症状体检者结直肠息肉检出情况分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年02期
页码:
125-127
栏目:
出版日期:
2016-04-09

文章信息/Info

Title:
Analysis of 328 cases of colorectal polyp inspection results in asymptomatic persons
作者:
崔莲1; 王志津2; 马建新1; 王光辉1; 霍文静1; 刘丽丽1; 郝淑芳1; 张蓉1; 张金萍3
100017 北京，解放军305医院,1. 干部病房，2. 消化内科，3. 医院机关
Author(s):
CUI Lian1;  WANG Zhi-jin2;  MA Jian-xin1;  WANG Guang-hui1;  HUO Wen-jing1;  LIU Li-li1;  HAO Shu-fang1;  ZHANG Rong1;  ZHANG Jin-ping3.
1.Cadre Ward， 2. Department of Gastroenterology, 3. Administration Office, 305 Hospital of PLA， Beijing 100017， China
关键词:
无症状体检; 结直肠息肉; 结肠镜; 腺瘤
Keywords:
asymptomatic check-up;  colorectal polyp;  colonoscopy;  adenoma
分类号:
R735.3；R574.62
DOI:
10.3969/j.issn.1672-271X.2016.02.005
文献标志码:
A
摘要:
目的 了解无症状体检者结直肠息肉检出情况及与临床因素的关系。方法 对2009年4月-2013年6月我院干部病房住院的无症状体检者的临床资料、结肠镜结果进行分 析。结果 328例无症状体检者中，检出结直肠息肉130例（39.6%）、降结肠癌1例（0.3%）、结肠憩室1例（0.3%）、乙状结肠炎症1例（0.3%）、腺瘤75例（22.9%）、进展期息肉 19例（5.8%）。随着年龄的增长结直肠息肉检出率及腺瘤检出率逐渐升高（均P＜0.05），男性较女性结直肠息肉及腺瘤检出率明显升高 （均P＜0.05），吸烟的患者较未吸烟的患 者结直肠息肉及腺瘤检出率明显升高（均P＜0.05）。结论 结肠镜检查是无症状人群筛查癌前病变的有效方法，年龄增长及男性、吸烟的患者结直肠息肉及腺瘤发生率高。
Abstract:
Objective Find out the relationship between colorectal polyp inspection results in asymptomatic persons and clinical factors. Methods Clinical data and colonoscopy results of asymptomatic persons in our hospital from April 2009 to June 2013 were analyzed. Results In 328 cases of physical examinees, there are 130 of colorectal polyp (39.6%), 1 of carcinoma of descending colon (0.3%), 1 of diverticulosis of colon (0.3%), and 1 of sigmoiditis (0.3%). We also found out 75 of adenoma (22.9%) and 19 of advanced polyps(5.8%) among all the 328 cases. Positive rate of colorectal polyp and adenoma increased with age (P＜0.05, respectively). Moreover, the positive rate of colorectal polyp and adenoma in male are significantly higher than female (P＜ 0.05, respectively), and markedly higher in smokers than in non-smokers (P＜0.05, respectively). Conclusion Colonoscopy is an effective method to screen precancerous lesion in asymptomatic persons. Positive rate of colorectal polyp and adenoma are age-related, and higher in male and smoker.

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备注/Memo

备注/Memo:
总参“十二五”医药卫生基金项目（ZCWS14C26）
更新日期/Last Update: 2016-03-20