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目的了解2014~2015年本院内窥镜中心结肠镜检查腺瘤发病率的特点,并比较<50岁年轻患者的腺瘤发病率变化。方法回顾性分析2014年1月~2015年12月完成的全结肠镜的人口学特点和结直肠镜腺瘤检出情况,分析接受全结肠镜检查患者中腺瘤发病率的特点。结果 2014年1月~2015年12月,本中心完成全结肠镜检查共计10812例。接受结肠镜检查患者的平均年龄(45.4±13.4)岁。结肠镜检查的不良事件为4例(其中包含出血、穿孔、肠扭转)。10812例患者中年龄<50岁占66.4%(7180/10812),2014年患者中年龄<50岁占66.3%,2015年患者中年龄<50岁占66.5%,比较差异无统计学意义(P>0.05)。结肠腺瘤的总体发病率为21.4%,2014年结肠腺瘤总发病率为18.9%(886/4688),2015年结肠腺瘤总发病率为23.4%(1430/6124),2年间结肠腺瘤发病率比较差异具有统计学意义(χ2=31.259,P<0.01)。2014年检查患者中50岁以下年轻患者结肠腺瘤的发病率为13.0%(405/3108),而2015年50岁以下年轻患者结肠腺瘤的发病率为14.9%(607/4072),比较差异具有统计学意义(χ2=5.112,P<0.05)。结论近2年(2014~2015年)结肠镜检查患者的结直肠腺瘤的整体发病率呈上升趋势,特别是50岁以下年轻患者结直肠腺瘤的发病率呈上升趋势,提示对于年轻患者非筛查监测的结肠镜检查具有相当的必要性。
Objective To investigate the incidence of adenoma in colonoscopy from 2014 to 2015 in our hospital and compare the incidence of adenoma in young patients <50 years of age. Methods A retrospective analysis of the characteristics of colonoscopy and detection of colorectal adenomas completed from January 2014 to December 2015 was performed to analyze the incidence of adenomas in patients undergoing colonoscopy. Results From January 2014 to December 2015, the Center completed 10812 colonoscopy. The average age of patients undergoing colonoscopy (45.4 ± 13.4 years). Colonoscopy 4 cases of adverse events (including bleeding, perforation, intestinal twist). 10812 patients aged <50 years accounted for 66.4% (7180/10812), 2014 patients aged <50 years accounted for 66.3%, 2015 patients aged <50 years accounted for 66.5%, the difference was not statistically significant (P> 0.05). The overall incidence of colorectal adenoma was 21.4%. The overall incidence of colorectal adenoma in 2014 was 18.9% (886/4688). The overall incidence of colorectal adenoma was 23.4% (1430/6124) in 2015, and the incidence of colorectal adenoma The incidence of difference was statistically significant (χ2 = 31.259, P <0.01). The incidence of colorectal adenoma was 13.0% (405/3108) in young patients under 50 years of age in 2014, compared with 14.9% (607/4072) in young patients under 50 years of age in 2014, with a significant difference Statistically significant (χ2 = 5.112, P <0.05). Conclusions The overall incidence of colorectal adenomas in colonoscopy patients during the recent 2 years (2014-2015) is on the rise. The incidence of colorectal adenomas especially in young patients under 50 years of age is on the rise, suggesting that for young patients Colonoscopy screening screening is quite necessary.