摘要:
目的 :了解南昌为主要区域的大肠息肉的临床病理特点及其变化趋势。 方法 :回顾性调查我院1990年1月至2004年12月15年间行结肠镜检查确诊的大肠息肉患者,分析其临床病理特点及其变化趋势。 结果 :15年来共行结肠镜检21853例,确诊的大肠息肉共2889例,大肠息肉患者的检出率为13.2%,平均发病年龄为46.6±16.5岁。男女比例为1.8:1,男性患者平均年龄大于女性(47.1±17.5与45.5±14.5,P<0.05)。直肠是大肠息肉的最常见部位,占41%,然后为乙状结肠27.7%。左半结肠息肉多于右半结肠息肉(35.8%与23.1%,P<0.05)。腺瘤型息肉是最常见的息肉类型(67%)。幼年型息肉患者平均年龄最小(12.0±4.8岁,P<0.05),腺瘤型息肉患者的平均年龄最大(52.0±14.0岁,P<0.05)。结肠息肉病占息肉患者的1.2%,伴癌发生的息肉占6.1%。比较15年来息肉的临床病理特点发现,近年来大肠息肉的检出率明显增加;患者的平均年龄增加;腺瘤性息肉增多而炎性息肉、潴留性息肉减少。 结论 :大肠息肉是大肠的常见疾病,男性发病率多于女性;直肠和乙状结肠是息肉的最常见发生部位;少儿主要是潴留型息肉、幼年型息肉,成年主要是腺瘤型息肉。近年来南昌地区大肠息肉的检出率明显增加;患者的平均年龄增加;腺瘤性息肉增多而炎性息肉、潴留性息肉减少。
Abstract:
Objective :To study the clinicopathological characteristics of colorectal polyps in theNanchang area. Methods :We retrospectively investigated data from patients with colorectal polyps di-agnosed by colonoscopy in our hospital from 1990 to 2004. Results :A total of 21,853 patients had un-dergone colonoscopy examination and colorectal polyps were diagnosed in 2,889 patients. The positiverate was 13.2%. Within the positive cases, the ratio of males to females was 1.8:1, the average age was46.6± 16.5 years old, and the average age of male patients was older than that of the female patients(47.1± 17.5 vs. 45.5± 14.5, P<0.05). Forty-one percent of colorectal polyps detected were located in therectum, and 27.7% were in the sigmoid colon. Colorectal polyps were located more often in the left sidecolon than in the right side colon (35.8% vs. 23.1%, P<0.05). Of the colorectal polyps detected, 67%were adenomas. The patients with juvenile polyps were the youngest (12±4.8 years, P<0.05), and thepatients with adenomatous polyps were the oldest (52±14 years, P<0.05). By analyzing the clinicopatho-logical characteristics of cases of colorectal polyps during the fifteen years involved in our study, wefound that the detection rate of colorectal polyps, the average age of patients with colorectal polyps, andthe incidence of adenomatous polyps increased, while the incidence of inflammatory and retentionpolyps decreased. Conclusion :Colorectal polyps are common and its incidence is higher in males thanin females. Rectum and sigmoid colon are the most common sites. Juvenile and retention polyps occurmostly in young patients, and adenomatous polyps are found in adults. In recent years, the detectionrate of colorectal polyps, the average age of patients with colorectal polyps, and the incidence of adeno-matous polyps in the Nanchang area have increased, but the incidence of inflammatory and retentionpolyps has decreased.
下载:
