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目的 :探讨结直肠腺瘤(CRA)的危险因素。方法 :从解放军281医院接受肠镜检查的患者及健康体检者中纳入研究对象。制备《结直肠腺瘤相关因素调查表》,共包含29项指标。于接受或预约结肠镜检查前进行问卷调查,共计完成8896份调查表,对比分析各因素下CRA的检出率,并对CRA的危险因素进行单因素及多因素分析。结果 :8896例患者中共检出CRA1502例,检出率为16.9%。单因素分析发现29项调查项目中有19项为CRA的危险因素。多因素分析发现11项CRA的独立高危因素。结论 :CRA有多种危险因素,应充分认识这些危险因素并引起足够的重视,有利于CRA的早期发现和治疗,并且减少CRA向CRC的转变。
Objective: To investigate the risk factors of colorectal adenoma (CRA). METHODS: Subjects were included in the patients admitted to the 281 Hospital of People’s Liberation Army (PLA) and their healthy subjects. Preparation of “colorectal adenoma related factors survey”, contains a total of 29 indicators. A total of 8896 questionnaires were completed before accepting or reserving colonoscopy. The detection rate of CRA under each factor was compared and analyzed. Univariate and multivariate analysis were performed on the risk factors of CRA. Results: A total of 882 CRA cases were detected in 8896 patients, the detection rate was 16.9%. Univariate analysis found that 19 out of 29 investigations were risk factors for CRA. Multivariate analysis found 11 CRA independent risk factors. Conclusion: There are many risk factors for CRA. Therefore, these risk factors should be fully recognized and given enough attention, which is beneficial to the early detection and treatment of CRA and to reduce the change of CRA to CRC.