136例结肠憩室病的内镜特点及临床分析

Clinical analysis of 136 patients with colonic diverticula

目的探讨结肠憩室的内镜及临床特点。方法回顾性分析近9年我院经结肠镜诊断的136例结肠憩室患者的临床资料。结果本组中≥60岁人群中结肠憩室的检出率为62.50%,25～59岁人群中结肠憩室的检出率为36.76%;<25岁人群中结肠憩室的检出率为0.74%。憩室部位以右半结肠更常见(80.15%);多发憩室(88/136)较单发憩室(48/136)多见;伴发病中以结肠息肉最多(40.44%)。便秘、腹痛、腹胀、便血为常见临床表现。结论结肠憩室好发于老年人,右半结肠为好发部位,多发较单发常见,容易伴发结肠息肉。结肠镜是诊断本病的最佳方法。

Objective To explore the endoscopic and clinical characteristics for colonic diverticula patients.Methods One hundred and thirty-six colonic diverticula patients diagnosed by endoscope were studied retrospectively.Results Detectable rate of colonic diverticula was the highest in the elderly patients,the rates were 62.50%,36.76% and 0.74% in the old-aged,middle-aged and the youth patients respectively.The right colon was the most disease position（80.15%）.There were 48 cases and 88 cases for single and multi diverticula.The colonic polyp was most in accompanying symptom.Conclusion The disease summit of colonic diverticulum is in older-aged patients,and the disease is more likely to locate in right colon and the most are multi-diverticula,the colonic polyp is most in accompanying symptom.