摘要
目的探讨下消化道出血的常见病因.方法收集北京天坛医院消化内科内镜中心2010-09/2016-09的410例下消化道出血患者,其中307例患者通过结肠镜发现了出血的原因.用统计学方法进行分析不同年龄组的病因构成差异.结果下消化道出血的病因依次为大肠癌88例(28.7%),大肠息肉80例(26.1%),缺血性肠炎60例(19.5%),溃疡性结肠炎40例(13.0%)慢性大肠炎19例(6%).88例大肠癌,中青年组为31例(31/160),老年组为57例(57/147),差异有统计学差异(P<0.05).40例溃疡性结肠炎中,中青年组为28例(28/160),老年组为12例(12/147).结论大肠癌、大肠息肉、缺血性结肠炎、溃疡性结肠炎是下消化道出血最常见的病因.年龄组不同,病因构成重点不同.
AIM To investigate the common causes of lower gastrointestinal bleeding.METHODS Four hundred and ten lower gastrointestinal bleeding patients were treated at Beijing Tiantan Hospital from September 2010 to September 2016, of whom 307 had the definite causes of bleeding identified by colonoscopy. The causes were analyzed statistically based on age group.RESULTS There were 88（28.7%） cases of colorectal cancer, 80（26.1%） cases of colorectal polyps, 60（19.5%） cases of ischemic colitis, 40（13.0%） cases of ulcerative colitis, and 19（6.0%） cases of chronic colitis. Among the 88 cases of colorectal cancer, 31 belonged to the young group and 57 belonged to the elderly group, and there was a significant difference between the two age groups. Among the 40 patients with ulcerative colitis, 28 belonged to the young group and 12 belonged to the elderly group.CONCLUSION Colorectal cancer, colorectal polyps, ischemic colitis, and ulcerative colitis are the most common causes of lower gastrointestinal bleeding. The etiology is different according to different age groups.
作者
郭秀丽
姚士伟
崔培林
徐有青
Xiu-Li Guo Shi-Wei Yao Pei-Lin Cui You-Qing Xu(Department of Gastroenterology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China)
出处
《世界华人消化杂志》
CAS
2017年第24期2220-2223,共4页
World Chinese Journal of Digestology
关键词
下消化道出血
病因
大肠癌
溃疡性结肠炎
Lower gastrointestinal bleeding
Cause
Colorectal cancer
Ulcerative colitis
