摘要
目的 探讨结肠镜检查在筛查健康体检人群中结直肠病变的应用效果.方法 选取佛山市第一人民医院体检中心于2014年1月至2015年3月进行健康体检的510名体检者,均接受结肠镜检查,研究体检者性别、年龄等分布情况,此外还包括各种结直肠疾病的患病率和病变部位等分布情况.结果 经过结肠镜检查后,无明显异常人数310例（60.78％）,结直肠息肉80例（15.69％）,进展期息肉16例（3.14％）,腺瘤85例（16.67％）,直肠癌2例（0.39％）,结直肠炎症17例（3.33％）.发病部位远端结肠有58例（60.42％）,明显高于近端结肠22例（22.92％）和近端＋远端结肠16例（16.66％）,差异有统计学意义（P〈0.05）.结直肠病变检出率随着年龄增长而逐渐升高,≥60岁人群该病发生率（65.57％）明显高于50～60岁人群（50.00％）、40～50岁人群（20.89％）和〈 40岁的人群（11.37％）,差异有统计学意义（P〈0.05）.结论 对健康体检人群通过结肠镜检查来筛查结直肠病变,可提高疾病检出率,延长患者生命,降低死亡率,为城市居民开展恶性肿瘤的二级预防工作奠定良好的基础.
Objective To analyze and study the effect of colonoscopy for screening colorectal lesion in people undergoing health examination.Methods 510 examinees undergoing health examination at our center from January, 2014 to March, 2015 were selected and examined with colonoscopy.The distribution of gender, age, etc., and the morbidity of all kinds of colorectal diseases and lesion sites etc.were studied.Results After colonoscopic examination, 310（60.78%） showed no obvious abnormalness, 80 （15.69%） had colorectal polyps, 16（3.14%） advanced polyps, 85（16.67%） adenoma, 2（0.39%） rectal cancer, and 17（3.33%） colitis disease.58 cases＇ （60.42%） lesion site was in distal colon, which was significantly higher than that in proximal colon（22 cases,22.92%） and proximal ＋ distal colon （16 cases,16.66%）.Colorectal lesion detection rate gradually increased with age;the incidence of colorectal lesion was significantly higher in ones ≥ 60 years old（65.57%） than in ones 50-60 （50.00%）, 40-50 （20.89%）, and 〈40 （11.37%） years old.Conclusions Colonoscopy for screening colorectal lesion in people undergoing health examination can improve the detection rate, prolong the patients life, and decrease the mortality.It can build a good foundation for the secondary prevention of cancer for urban residents.
出处
《国际医药卫生导报》
2015年第19期2824-2827,共4页
International Medicine and Health Guidance News
基金
佛山市卫生和计生局科研项目（201502339）
关键词
结肠镜
筛查
健康体检
结直肠病变
应用研究
Colonoscopy
Screening
Health examination
Colorectal neoplasms
Application research
