摘要
目的探究结肠黑变病的临床特点及其对大肠息肉、大肠癌的影响。方法回顾性分析2019年8月至2021年12月于苏州高新区人民医院经电子结肠镜检查确诊结肠黑变病的62例患者及同期接受电子结肠镜检查的确诊非结肠黑变病的62例患者的临床资料。比较结肠黑变病与非结肠黑变病患者性别、年龄及大肠息肉、大肠癌检出情况。结果结肠黑变病患者女性占比及大肠息肉、大肠癌检出率均高于非结肠黑变病患者,年龄大于非结肠黑变病患者,差异有统计学意义(P<0.05)。结肠黑变病患者主要累及肠道为右半结肠(45.16%),便秘者(80.65%)占比最高,大肠息肉主要为直径<10 mm者(92.86%),大肠息肉病理类型主要为增生性息肉(35.71%)、单纯腺瘤(35.71%)。结论结肠黑变病患者的大肠息肉、结肠癌检出率高于非结肠黑变病者,需引起足够的重视和积极干预。
Objective To explore the clinical characteristics of melanosis coli and its influence on colorectal polyps and colorectal cancer.Methods The clinical data of 62 patients with melanosis coli diagnosed by electronic colonoscopy in the People's Hospital of SND from August 2019 to December 2021 and 62 patients with non-melanosis coli diagnosed by electronic colonoscopy during the same period were analyzed retrospectively.The sex,age and the detection of colorectal polyps and colorectal cancer were compared between patients with melanosis coli and patients without melanosis coli.Results The proportion of women and the detection rate of colorectal polyps and colorectal cancer in melanosis coli patients were higher than those in without melanosis coli patients,and the age was older than that in without melanosis coli patients,and the difference was statistically significant(P<0.05).Patients with melanosis coli mainly involved in the right colon(45.16%),with constipation(80.65%)accounting for the highest proportion,and colorectal polyps with a diameter of less than<10 mm(92.86%).The pathological types of colorectal polyps are mainly hyperplastic polyp(35.71%)and simple adenoma(35.71%).Conclusion The detection rate of colorectal polyps and colon cancer in patients with melanosis coli is higher than that in those without melanosis coli,which needs to be paid enough attention and actively intervened.
作者
陆雯雯
庄剑波
王杰民
LU Wenwen;ZHUANG Jianbo;WANG Jiemin(The People's Hospital of SND,Suzhou,Jiangsu,215129,China)
出处
《当代医学》
2023年第33期169-171,共3页
Contemporary Medicine
关键词
结肠黑变病
临床特点
大肠息肉
大肠癌
Melanosis coli
Clinical features
Polyps of large intestine
Colorectal cancer
