电子结肠镜检查4000例分析

ELECTRONIC COLONOSCOPY: AN ANALYSIS OF 4 000 CASES

①目的观察结直肠疾病发病情况并探讨病变与临床症状的关系。②方法抽取经电子结肠镜检查病人4000例,统计结直肠病变的部位、形态、病理改变及临床表现。③结果结直肠病变主要集中于直肠和乙状结肠。结直肠病变的检出由高到低依次为结直肠息肉、结直肠的非特异性炎症、结直肠癌、溃疡性结直肠炎等。④结论直肠、乙状结肠是结直肠息肉、炎症、溃疡、肿瘤的主要发病部位。结直肠腺瘤性息肉是结直肠肿瘤的高危因素。黏液血便是结直肠恶性肿瘤和溃疡性结直肠炎的报警信号,肛诊对于直肠癌的诊断具有重要价值。中老年人宜每3～5年进行结肠镜的常规检查。

Objective To observe the incidence of colorectal diseases and their clinical manifestations. Methods The electronic colonoscopic data of 4000 patients with colorectal diseases were analyzed in terms of their sites, morphous, pathological changes and clinical manifestations. Results Large intestine diseases, i.e. colonic polypus, no-specific inflammation of the colon and rectum, carcinoma of colon, and ulcerative colitis, were mainly found in the rectum and sigmoid colon. Conclusion The rectum and the sigmoid colon are the main invasive sites of polypus, inflammation, ulcer and tumors. Colonic adenomatous polyp is one of the high risk factors of colorectal tumors. Mucosanguineous stool is a warning of malignant tumors of the colon and ulcerative colitis. A rectal touch is important in the diagnosis of rectal carcinoma. The middle-aged and aged are recommended to have a colonoscopy done every three to five years.