摘要
目的探讨术前结肠镜检查对肛门手术患者的早期诊断和治疗价值。方法回顾性分析2011年9月至2014年3月天门市第一人民医院肛肠外科收治的100例肛门疾病患者的临床资料,对术前结肠镜检的诊断结果和治疗效果进行统计分析。结果经结肠镜检查和病理学检验确定漏诊21例,漏诊率为21%,漏诊疾病中以结直肠息肉最为多见,漏诊率达13%。年龄超过50岁、伴混合痔或便血症状的患者其漏诊率较其他患者明显增加,差异均有统计学意义(P<0.05)。且无痛结肠镜检查的一次性成功率明显高于普通结肠镜检查,差异有统计学意义(P<0.05)。结论对于肛门疾病患者应加强对于其他结直肠疾病的排查,尤其应着重筛查结直肠息肉,并将年龄超过50岁、伴混合痔或便血症状的患者作为重点筛查对象,检查方式建议采用无痛结肠镜检查。
Objective To explore the early diagnostic and therapeutic value of preoperative colonoscopic examination for the patients undergoing anal operation.Methods The clinical data in 100 cases of anal operation in our hospital from Sep.2011 to Mar.2014 were retrospectively analyzed and the diagnosis results and effects of preoperative colonscopic examination were statistically analyzed.Results The colonoscopic examination and pathology examination determined 21 cases of missed diagnosis with the missed diagnosis rate of 21%,in the missed diagnosis of diseases,colorectal polyps was predominant with the missed diagnosis rate of 13%.The missed diagnosis rate in the patients with the age of over 50 years old,mixed hemorrhoid or complicating hemafecia symptom was significantly increased compared with other patients,the difference was statistically significant（P〈0.05）.Moreover the once success rate of painless colonoscopic examination was significantly higher than that of the common colonoscopic examination with statistical difference between them（P〈0.05）.Conclusion The patients with anal diseases should be strengthened to screen other colorectal diseases,especially should be focused on screening colorectal polyps,the patients with the age of over 50 years,mixed hemorrhoid and bloody stool symptoms should be taken as the emphasis screening objects,the examination mode is suggested that the painless colonscopy is preferred.
出处
《检验医学与临床》
CAS
2015年第6期795-796,共2页
Laboratory Medicine and Clinic
关键词
肛门疾病
结肠镜检查
诊断
治疗
anus diseases
colonoscopy
diagnosis
treatment
