结直肠息肉摘除术后患者结肠镜复诊的依从性分析

Compliance of follow-up colonoscopy in patients with colorectal polypectomy

目的探讨结直肠息肉摘除术后患者结肠镜复诊依从性及其影响因素。方法统计1 108例结直肠息肉摘除术后患者结肠镜复诊情况,并对可能影响依从性的因素进行统计学分析。结果依从性好者354例(31.9%),依从性差者754例(68.1%)。经统计学分析,依从行为与结直肠癌术史、操作医师资质有关,差异有统计学意义(P<0.05);性别、年龄差异无统计学意义(P>0.05)。结论此次调查结直肠息肉摘除术后结肠镜复诊依从性不高。有过结直肠癌术史,选择高年资医师手术者依从性相对较高。做好结直肠息肉术后患者的宣教工作,提升医师个人素养及威望,提高肠镜操作技巧及推广舒适内镜是提高结直肠息肉摘除术后复诊依从性的关键。

Objective To survey the compliance of follow-up colonoscopy in patients with colorectal polypectomy and the influencing factors. Methods Clinical data of 1 108 patients undergoing colorectal polypectomy were retrospectively reviewed. The factors influencing the compliance of follow-up colonoscopy were analyzed. Results Among 1 108 patients 354 cases （31.9%） were in high compliance, and 754 cases （68. 1% ） were in low compliance. The compliance behavior was significantly correlated with the history of colorectal cancer surgery and the qualification of operating physicians （ P 〈 0.05 ） , while not correlated with gender and age of patients （ P 〉 0.05 ）. Conclusion The overall compliance rate of follow-up colonoscopy for patients with colorectal polypeetomy is low. To raise the compliance, the improvement of operating skill and promotion of painless endoscopy, as well as the education of patients are necessary.