摘要
目的:分析血常规联合尿常规检验在直肠息肉的诊断价值。方法:将我院2019-2021年收治的97例直肠息肉患者作为观察组,再选取同期于我院进行体检健康者97名作为对照组。将2组研究参与者均行血常规和尿常规检查,比较2组血常规指标、尿常规指标对直肠息肉诊断的准确率。结果:观察组患者白细胞计数、红细胞计数水平高于对照组(P<0.05),血红蛋白水平比较差异无统计学意义(P>0.05);观察组患者97例隐血试验均为阳性,对照组隐血试验阳性18例,白细胞有不同程度的升高,尿液酸碱度检测无明显规律;经肠镜检查确诊为直肠息肉患者115例,健康人群为79例,尿常规单独检查确诊为直肠息肉患者85例,健康人群为69例,血常规检查确诊为直肠息肉患者90例,健康人群为71例;尿常规检验诊断确诊患者85例,准确率为79.38%,血常规检验诊断确诊患者90例,准确率82.99%,尿常规联合血常规检验确诊患者104例,准确率92.78%,2种方法联合对直肠息肉进行诊断,结果更为准确(P<0.05)。结论:直肠息肉患者在发病后血象升高,在临床上对直肠息肉进行诊断时,可采用尿常规联合血常规的检验来辅助诊断,使直肠息肉诊断更加准确。
Objective To analyze the diagnostic value of blood routine examination combined with urine routine examination in rectal polyps.Methods Total 97patients with rectal polyps admitted to our hos-pital from 2019to 2021were selected as the observation group,and 97healthy subjects who underwent physical examination in our hospital during the same period were selected as the control group.Blood rou-tine examination and urine routine examination were performed in both groups,and the accuracy of blood routine and urine routine indexes in the diagnosis of rectal polyps was compared between the two groups.Results The white blood cell count and red blood cell count in the observation group were higher than those in the control group(P<0.05),and there was no significant difference in hemoglobin level(P>0.05).Occult blood tests of 97patients in the observation group and 18patients in the control group were positive.White blood cells were increased in different degrees,and urine pH test had no obvious rule.There were 115patients with rectal polyps and 79healthy people confirmed by colonoscopy,85patients with rec-tal polyps and 69healthy people confirmed by urine routine examination,90patients with rectal polyps and 71healthy people confirmed by blood routine examination.Urine routine examination diagnosed 85pa-tients,the accuracy rate was 79.38%.Blood routine examination diagnosed 90patients,the accuracy rate was 82.99%.Urine routine examination combined with blood routine examination diagnosed 104patients,the accuracy rate was 92.78%.The combined diagnosis of rectal polyps by the two methods was more ac-curate(P<0.05).Conclusion The blood picture of patients with rectal polyps increases after the onset of rectal polyps.In clinical diagnosis of rectal polyps,urine routine examination combined with blood rou-tine examination can be used to assist diagnosis,so as to make the diagnosis of rectal polyps more accurate.
作者
朱格
ZHU Ge(Department of Clinical Laboratory,Shangqiu First People's Hospital,Shangqiu,Henan 476000)
出处
《中国肛肠病杂志》
2024年第1期18-20,共3页
Chinese Journal of Coloproctology
关键词
直肠息肉
尿常规
血常规
诊断
Rectal polyp
Urine routine examination
Blood routine examination
Diagnosis
