摘要
目的探讨肠镜对老年人下消化道出血及肠癌的诊断价值。方法回顾性分析154例下消化道出血的老年患者的肠镜检查结果。结果 154例下消化道出血老年患者行肠镜检查后,肠癌发病率最高(49例,31.8%);而肠息肉与慢性结肠炎发病率居第二位和第三位,分别为22.3%(35例)及16.2%(25例);余依次为肛周疾病(18例,11.6%),溃疡性结肠炎(14例,9.1%),缺血性结肠炎(5例,3.2%),血管畸形(2例,1.3%),放射性结肠炎(1例,0.6%),克罗恩病(1例,0.6%);其中148例老年患者病灶部位明确,主要以直肠及乙状结肠为主,分别为(43例,29.1%)及(35例,23.6%),其次为升结肠(28例,18.9%),横结肠(13例,8.9%),降结肠(14例,9.4%),肛门部位(10例,6.7%),末端回肠部(4例,2.7%),全结肠(1例,0.7%)。结论肠癌为老年性下消化道出血的主要原因,且病变部位主要以直肠及乙状结肠为主。肠镜对老年性肠癌的检查准确率高,安全方便,可作为老年患者肠癌的首选检查方法。
Objective To investigate the value of co]onoseopy for hemorrhage of lower digestive tract and Colorectal cancer of elderly patients. Methods Retrospectivly analyze colonoscopy results of 154 elderly patients. Results There were 49 colon cancer incidence （31.8%） ,35 intestinal polyps（22.3% ） 25 chronic colitis（ 16.2% ）, 18 perianal disease （ 11.6% ） ; 14 ulcerative colitis （9.1% ） ;5 ischemic colitis （3.2%）, 2 vascular malformation （1.3 % ） ;1 ulcerative colitis （0.6%） and 1 Crohng disease （0.6%） ;The sites in 148 senile patients were clear, there were 43 rectum （29.1% ） and 35 sigmoid （23~ 6% ）, 28 ascending colon （ 18.9% ） ; 13 transverse colon （ 8.9% ） ; 13 descending colon （9.4%） ; 10 anal region （6.7%） ;4 terminal ileum （2.7%） and 1 total colectomy （0.7%）. Conclusion Colorectal cancer is the main reason for lower digestive tract hem- orrhage of elderly patients, tumor sites are mainly in the rectum and sigmoid. Colonoscopy is safe and convenient with high accura- cy,it can be the preferred method of examination for coloreetal cancer of elderly patients.
出处
《实用癌症杂志》
2013年第4期365-366,共2页
The Practical Journal of Cancer
关键词
肠镜
下消化道出血
肠癌
Colonoscopy
Lower gastrointestinal bleeding
Colorectal cancer
