摘要
目的探讨不同时期接受结肠镜检查的高危人群与普通人群结肠息肉的检出率及其重要性。方法回顾性分析山西医科大学附属肿瘤医院内镜中心2000年1月—2004年12月和2014年1月—2019年12月进行结肠镜检查的患者的电子肠镜检查报告,分析不同时期结肠息肉的检出率在年龄、性别层次上的差异性和检出率的变化。结果2000年1月—2004年12月高危人群13238组结肠息肉的检出率为48.32%,普通人群8412例结肠息肉的检出率为33.67%。2014年1月—2019年12月高危人群17345例结肠息肉的检出率为62.30%,普通人群24335例结肠息肉的检出率为57.84%。不同时期普通人群、高危人群结肠息肉检出率比较,差异有高度统计学意义(P<0.01)。男性受检者中结肠息肉的检出率为60.82%,女性受检者中为44.87%,不同性别结肠息肉检出率比较,差异有高度统计学意义(P<0.01)。在普通人群和高危人群中,不同时期男性结肠息肉检出率明显高于女性,差异有高度统计学意义(P<0.01)。2000年1月—2004年12月、2014年1月—2019年12月不同人群、不同年龄段的结肠息肉检出率差异有高度统计学意义(P<0.01)。2014年1月—2019年12月相同年龄段高危人群和普通人群的检出率差距小。2014年1月—2019年12月高危人群和普通人群40~45岁年龄段结肠息肉检出率分别为52.94%、48.93%,2000年1月—2004年12月高危人群>55~60年龄段结肠息肉检出率为49.44%。结论如今结肠息肉的检出率明显增加,2000年1月—2004年12月高危人群结肠息肉的检出率明显高于普通人群,而2014年1月—2019年12月高危人群结肠息肉的检出率接近于普通人群,应引起社会的广泛重视,所以应将结肠镜检查视为常规体检项目之一十分有必要,且40岁以上人群要定期进行结肠镜检查。
Objective To explore the detection rate and importance of colon polyps in high-risk population and general population undergoing colonoscopy at different periods.Methods The electronic colonoscopy reports of patients undergoing colonoscopy in the Endoscopy Center,Cancer Hospital Affiliated to Shanxi Medical University from January 2000 to December 2004 and from January 2014 to December 2019 were retrospectively analyzed,and the differences in the detection rate of colon polyps at different stages in terms of age and gender and the changes in the detection rate were analyzed.Results From January 2000 to December 2004,the detection rate of colon polyps in 13238 high-risk population was 48.32%,and the detection rate of colon polyps in 8412 general population was 33.67%.From January 2014 to December 2019,the detection rate of colon polyps in 17345 high-risk population was 62.30%,and the detection rate of colon polyps in 24335 general population was 57.84%.There was a significant difference in the detection rate of colon polyps between the general population and the high-risk population in different periods(P<0.01).The detection rate of colon polyps in male subjects was 60.82%,and that in female subjects was 44.87%.The difference in the detection rate of colon polyps among different genders was highly statistically significant(P<0.01).In the general population and high-risk population,the detection rate of colon polyps in males was significantly higher than that in females at different periods,and the difference was highly statistically significant(P<0.01).From January 2000 to December 2004,and from January 2014 to December 2019,the detection rate of colon polyps in different populations and different age groups had high statistical significance(P<0.01).From January 2014 to December 2019,there was a small difference in the detection rate between high-risk population and general population in the same age group.From January 2014 to December 2019,the detection rate of colon polyps in high-risk population and general pop
作者
孟彤
陈星
MENG Tong;CHEN Xing(The Second Clinical Medical College,Shanxi Medical University,Shanxi Province,Taiyuan 030051,China;Endoscopy Center,Cancer Hospital Affiliated to Shanxi Medical University,Shanxi Province,Taiyuan 030013,China)
出处
《中国医药导报》
CAS
2021年第4期81-84,89,共5页
China Medical Herald
基金
国家重点研发计划项目(2016YFC1303600)。
关键词
结肠息肉
结肠镜
常规体检
结肠癌
高危人群
Colon polyps
Colonoscopy
Routine physical examination
Colon cancer
High-risk population
