高龄老年人电子结肠镜检查情况及结果分析

Outcome Analysis of Electronic Colonoscopy in Elderly

目的 对高龄老年人的电子结肠镜检查情况及结果进行分析.方法 对2008—2017年在辽宁省金秋医院行电子结肠镜检查的407例、年龄≥80岁患者的结肠镜检查资料进行回顾性分析.结果 407例患者中374例完成电子结肠镜检查,完成率91.89%.疾病检出情况:结肠息肉161例(39.56% ),结直肠恶性肿瘤57例(14.00% ),结肠黑变病35例(8.60% ),缺血性肠病6例(1.47% ),溃疡性结肠炎5例(1.23% ).男性结肠息肉和结肠癌的检出率均高于女性.所有完成检查及镜下治疗的患者在检查及镜下治疗过程中无并发症发生.结论 >90.0%的≥80岁老年人能够完成电子结肠镜检查,高龄老年人结肠息肉的检出率高于其他结直肠疾病,其次为结直肠恶性肿瘤、结肠黑变病,男性结肠息肉和结肠癌的检出率均高于女性.对于高龄老年人,建议在条件允许的情况下定期行结肠镜检查,发现结直肠息肉时应及时切除,以预防结肠癌的发生.

Objective To analyze the results of electronic colonoscopy in the elderly patients.Methods A retrospective analysis was conducted for 407 patients aged over 80 who underwent electronic colonoscopy in Jinqiu Hospital of Liaoning Province from 2008 to 2017.Results A total of 407 patients,374 completed electronic colonoscopy and the completion rate was 91.89%.Disease detection: 161 cases of colonic polyps(39.56%),57 cases of colorectal cancer(14.00%),35 cases of melanosis of colon(8.60%),6 cases of ischemic bowel disease(1.47%) and 5 cases of ulcerative colitis(1.23%).The detection rate of colonic polyps and colon cancer in males were higher than that in females.No complications occurred during the examination and treatment.Conclusion More than 90.0% of the elderly can complete electronic colonoscopy.The detection rate of colonic polyps is higher than other colorectal diseases,followed by colorectal malignancies and melanosis.The detection rate of colonic polyps and colon cancer in males were higher than that in females.For the elderly,it is suggested that regular colonoscopy should be performed when conditions permit,and timely removal of colorectal polyps should be found to prevent the occurrence of colon cancer.