内镜下高频电治疗老年人大肠息肉的临床分析

目的探讨老年人大肠息肉的临床特点及其内镜下治疗的可行性。方法回顾性分析内镜电凝电切术治疗老年人大肠息肉48例的临床资料,分析其息肉的大小、部位、形态、病理学特点及内镜治疗情况,并与同期中青年人大肠息肉60例进行对比分析。结果老年组多发性息肉占54.2,明显高于中青年组的26.7(P<0.05);直肠、乙状结肠是息肉的好发部位,但老年人升结肠息肉明显增多(19.4),明显高于中青年组的11.9(P<0.05);老年组腺瘤性息肉的比例增高占11.2,明显高于中青年组的6(P<0.05)。结论老年人结肠镜检查是发现息肉的最有效手段。老年人大肠息肉以多发息肉为主,好发部位仍是直肠、乙状结肠,但升结肠比例升高,故大肠镜检查尽可能达回盲部,并适当放宽其适应证。内镜下行高频电凝电切术治疗老年人大肠息肉安全、简单、有效,应进行定期随访。

Objective To explore the clinical features and the application of colonoscopy in the diagnosis and therapy of colonic polyps in the elderly.Methods Retrospectively analysis the clinical data of 48 aged people with colonic polyps in our hospital,including polyps＇size,position,shape and histological characters.As the same time,we compare those data with the 60 young people＇s in the same period.Results The multiple polyps accounted for 54.2 in aged group,significantly higher than that in middle_younge group,accounting for 26.7（P 0.05）.The most frequent symptom was hemafecia;the predilection site was rectum and sigmoid,but polyps lie in right colon more frequent for 19.4 in the elderly,significantly higher than that in middle_younge group,accounting for11.9（P 0.05）.The ratio of adenomatous polyps is 11.2,higher than the younger＇s relatively for 6（P 0.05）.Conclusion Colorectal polyps in the elderly mainly multiple polyps.The most frequent symptom was hemafecia;the predilection site was rectum and sigmoid,but polyps lie in right colon more frequent.The indication of colonoscopy test to the elderly should be broader and the whole colon must be tested;The colonoscopy therapy to remove the polyps in aged people is a safe,simple,less affliction and effective way.