摘要
目的 分析非老年性结肠憩室病的特征。方法 回顾性总结1996年1月~2001年12月在解放军总医院胃镜室经结肠镜检查证实的60岁以下结肠憩室患者的病例资料,并进行分析。结果 本组共47例,其中男38例、女9例,年龄24~59岁,平均43.2岁,按年龄分为20~39岁组和40~59岁组,两组间结肠憩室的总检出率及单发、多发憩室的检出率均无显著性差异(P〉O.05);男性结肠憩室检出率高于女性(7.92‰ vs 2.43‰,P〈0.01);无论单发或多发憩室,均好发于右半结肠,其中以单发憩室更为明显,右左结肠憩室比为20.5:1,与同期60岁以上老年组(结肠憩室70例,检出率为16.9‰)右左结肠比(2.8:1)相比,非老年组右半结肠结肠憩室发生率明显增高(x^2=8.2939,P〈0.01)。结论 结肠憩室发生率在非老年人中与年龄无关;非老年人右半结肠憩室发生率相对高于老年人,而左半结肠及双侧结肠憩室发生率相对低于老年人。
Objective To investigate the features of non-senile colonic diverticula as diagnosed by coloscopic examination in 47 cases. Methods 47 cases of non-senile colonic diverticula were diagnosed by colonoscopy in the Department of Endoscopy, General Hospital of PLA, from Jan. 1996 to Dec. 2001. Results There were 38 males and 9 females, whose age was under 60, with a mean age of 43. 2 years. The incidence and detectable rate for simple and multiple diverticula showed no relationship to patients'age. The detectable rate of colon diverticula was higher in males than in females. Right colon was the predilection site for both simple and multiple colonic diverticula, especially for simple diverticula. The ratio of incidence for right to left colon was 20. 5:1. The ratio was 2. 8:1 in senile patients (aged above 60, detectable rate of colon diverticula was16.9‰). Conclusion The incidence of colonic diverticula in non-senile patients showed no relationship to age. The incidence of diverticulum in right colon was higher in non-senile patients than in seniors. The incidence of diverticulum in the left colon or both sides of colon was lower in non-senile patients was in seniors.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2006年第3期252-253,共2页
Medical Journal of Chinese People's Liberation Army