新疆地区汉族与维吾尔族老年与非老年结肠憩室患者肠镜表现的对比研究

Comparative Study on Colonoscopy Data of Old and Non-old Peoples with Colonic Diverticulum in Han and Uygur Nationalities of Xinjiang Region

目的探索新疆地区老年与非老年汉族以及维吾尔族结肠憩室患者的肠镜表现特点及区别。方法收集2009年6月—2012年6月三年间经结肠镜检查证实的汉族非老年结肠憩室患者38例,老年47例;维吾尔族非老年结肠憩室患者14例,老年20例。分别分析其肠镜下表现特点并相互比较。结果 (1)汉族老年结肠憩室总检出率、男性憩室检出率、女性憩室检出率、单发憩室检出率、右半结肠检出率、横结肠检出率、憩室伴发息肉检出率均较非老年高,差异有统计学意义(P<0.05)。维吾尔族老年结肠憩室总检出率、男性憩室检出率、多发憩室检出率均较非老年高,差异有统计学意义(P<0.05)。(2)汉族和维吾尔族相比:非老年左半结肠憩室检出率,老年男性憩室检出率、多发憩室检出率、左半结肠检出率维吾尔族均较汉族高,差异有统计学意义(P<0.05)。结论两族结肠憩室的检出率均随年龄增长而上升,在老年组和非老年组的检出情况均有差异,符合结肠憩室在老年多发的特点。但两族结肠憩室总检出率间无差异。

Objective To investigate the colonoscopy features of and differences between old and non - old peoples with colonic diverticulum in Han and Uygur Nationalities of Xinjiang Region. Methods From June 2009 to June 2012, the data of patients with colonic diverticulum diagnosed by colonoscopy, including 38 non - old and 47 old peoples of Han nationality, and 14 non - old and 20 old peoples of Uygur nationality, the colonoscopy characteristics of the patients were analyzed and compared. Results （ 1 ） For patients of Han nationality the total detectable rate of colon diverticula, as well as detectable rates of male, female, single, right, transverse colon diverticulum, and diverticula accompanied with polyps were higher in the old than in the non - old, with statistically significant differences （ P 〈 0. 05 ）. For patients of Uygur nationality the total detectable rate of colon diverticula, male detectable rate of colon diverticula, and detectable rate of multiple colon diverticula were higher in the old than in the non - old, with statistically significant differences （ P 〈 0. 05 ）. （2） Compared with Uygur nationality, for Han nationality the detectable rate of left colon diverticula in the non - old, and detectable rates in the old of male, multiple, left colon diverticula were lower, with statistically significant differenees （ P 〈 0. 05 ） . Conclusion The detectable rate of colon diverticula increases as the age of people goes up, but with no significant difference between Han and Uygur nationalities. For the non old, the incidence of left colon diverticula is higher in Uygur than in Han nationality. For the old, the incidence of male, multiple, and left colon diverticula is higher in Uygur than in Han nationality.