3600例健康体检者结肠镜检查结果分析

Study on the colonoscopy results of 3600 cases health examination

目的分析该院3 600例体检者结肠镜检查结果,探讨隐匿性大肠疾病的发病情况。方法回顾性分析3 600例行结肠镜检查人员的资料,观察并记录受检者的病变类型、发生部位,将受检者分为中青年组(<60岁)和老年组(≥60岁),比较两组受检者患病比例的差异。将受检者分为具有临床症状组和无临床症状组两组,比较病变比例在两组之间的区别。分析结肠息肉的性别比例、年龄分布、生活区域(城市、农村)的差别。结果结肠黏膜病变的受检者共734例。其中,青年组发生比例为15.49%,老年组发生比例为32.81%,老年组发病比例明显高于中青年组,差异具有统计学意义(P<0.01);老年组中男性比例明显高于中青年组,差异具有统计学意义(P<0.01);病变部位两组的差异无统计学意义(P>0.05)。有症状组受检者765例,无症状组2 835例,有症状组发生病变的比例29.67%明显高于无症状组的比例17.88%,差异具有统计学意义(P<0.05);有症状组结肠黑病变的比例、大肠癌比例、大肠慢性炎症的比例均明显高于无症状组,且差异具有统计学意义(P<0.05)。结肠息肉的男性发病率(20.34%)明显高于女性发病率(9.88%),老年的发病率(22.89%)明显高于中青年组发病率(12.94%),城市的发病率(17.24%)明显高于农村的发病率(9.38%),差异均具有统计学意义(P<0.05)。结论健康体检人群结直肠疾病的发生率较高,结肠镜检查是结直肠病变筛查的有效方法。

[ Objective ] To analyze the colonoscopy results of 3 600 case health examination, to investigate the incidence of occult eolorectal diseases. [ Methods ] A retrospective analysis of 3600 cases of colonoscopy, pathological type, observe and record the subject＇s location, the subjects were divided into young group （〈60 years old） and the elderly group （over 60 years）, the difference between the two groups of subjects in proportion. The subjects were divided into symptomatic group and asymptomatic group two. The difference between the proportion of lesions be- tween the two groups. Analysis of sex ratio, age distribution, colonic polyps living areas （urban and rural） difference. [ Results] The subjects of colonic mucosal lesions in 734 cases, among them, the youth group accounted for 15.49%, the elderly group had a proportion of 32.81%, the incidence of elderly group was significantly higher than the pro- portion of the young group, and the difference was statistically significant （P 〈 0.01）; the proportion of male elderly group was significantly higher than that in young group, the difference was statistically significant （P 〈 0.01）; there was no significant difference of lesions in two groups （P 〉 0.05）. 765 cases of symptomatic group subjects, asymptomatie group of 2 835 cases, the symptomatic group of pathological changes in the proportion of 29.67% is significantly higher than that in asymptomatic group the proportion of 17.88%, and the difference was statistically significant （P 〈 0.05）; symptomatic group colon melanosis ratio, proportion of colorectal cancer, colorectal chronic inflam- mation were significant than those without symptoms, and the difference was statistically significant （P 〈 0.05）. The incidence rate of colon polyps （20.34%） incidence rate of female is significantly higher than the elderly （9.88%）, the incidence rate （22.89%） higher than the young group. The incidence of significant （12.94%）, the city＇s incidence rate （17.24%） was significantly higher than the incidence rate in rural areas （9.38%）, and the differences were statistically significant （P 〈 0.05）. [Conclusion] There is a high incidence of colorectal disease in healthy people, eolonoscopy is an effective method for screening colorectal lesions.