结直肠息肉348例临床分析

Clinical Analysis on Colorectal Polyps of 348 Cases

为分析结直肠息肉的临床特点及治疗方法，将348例结直肠息肉患者作为研究对象，对其临床资料进行回顾性总结、分析。结果显示，男性的结直肠息肉检出率显著高于女性（P〈0．05）；〉60岁组的结直肠息肉检出率显著高于46～60岁组和18-45岁组（P〈0．05），46～60岁组的结直肠息肉检出率明显比18-45岁组高（P〈0．05）；直肠及左侧结肠的息肉检出率显著高于右侧结肠和回盲部检出率，差异均有统计学意义（P〈0．05）。〉60岁组的息肉恶变率显著高于其他2组（P〈0．05）；18-45岁组的息肉恶变率显著低于其他2组，差异均具有统计学意义（P〈0．05）。结果表明，结直肠息肉多发于男性，其发病率及恶变率均随年龄增长而增加，左侧结直肠的息肉发病率、恶变率更高，临床治疗应根据病变情况的不同选用不同的治疗方式。

For analysis the clinical characteristics of colorectal polyps and searching for its therapeutic methods,this study took 348 patients with this disease as research objects, retrospectively summarized and analyzed their clinical data.As results, the detected rate of polyps in male was significantly higher than that in female（ P 〈0.05） ,in the group aged 〉60 year,higher than in the group aged from 46 to 60 year and in group aged from 18 to 45 year（ P 〈0.05）,also,in the group aged from 46 to 60 year higher than in the group aged from 18 to 45 year（ P 〈0.05） ;the detected rate in rectum and left colon was significantly higher than that in right colon and in ileocecal site,there was all statistical different between both groups（ P〈 0.05） ;in the group aged 〉60 year the malignant change rate was significantly higher than that in rest two age groups, there was all statistical different between both groups（ P 〈0.05）, but in the group aged from 18 to 45 year,lower than in rest two group（ P 〈0.05）.Results show that colorectal polyps occur more in male, their incidence and malignant change rate are increased with age increasing, the incidence and malignant change rate of left colon,rectum are more higher; clinically it should be to choose different therapies according to different lesion conditions.