肛门良性疾病患者术前常规结肠镜检查结果分析

Analysis of preoperative conventional colonoscopy outcome in benign anus disease patients

目的探讨肛门良性疾病患者术前常规肠镜检查的必要性。方法 298例拟行肛门良性疾病手术的患者,入院后所有患者均完善术前相关检查。根据结肠镜检查和病理检验结果 ,将患者分为病变组(91例)和正常组(207例)。对其术前常规肠镜检查结果进行回顾性分析。结果 298例患者总体病变检出率为30.5%(91/298)。病变组40岁以上患者及有便血症状的患者比例显著高于正常组,差异统有计学意义(P<0.05)。病变组结直肠病变包括结直肠息肉60例,结直肠癌9例,溃疡6例,炎症性肠病5例,结肠黑变病12例,结直肠炎18例和结肠憩室8例。结论术前常规结肠镜检查可有效的发现结直肠病变,因此对肛门良性疾病患者进行结肠镜检查十分必要。40岁以上及以便血为主要症状患者建议行结肠镜检查。

Objective To investigate necessity of preoperative conventional colonoscopy in benign anus disease patients. Methods A total of 298 patients received planed benign anus disease operation all received preoperative examination. They were divided by colonoscopy and pathology outcomes into lesion group （91 cases） t and normal group （207 cases）. Their preoperative colonoscopy outcomes were retrospectively analyzed. Results Total lesion detection rate was 30.5% （91/298） among 298 cases. The lesion group had higher proportion of over 40 years old and hemafecia than the normal group, and the difference had statistical significance （P〈0.05）. Among the lesion group, there were 60 cases with colorectal polyp, 9 cases with colorectal cancer, 6 cases with anabrosis, 5 cases with inflammatory bowel disease, 12 cases with melanosis coli, 18 cases with colonitis and 8 cases with colon diverticula. Conclusion Preoperative conventional colonoscopy can effectively reveal colorectal lesion, therefore it is necessary for benign anus disease patients, especially for patients over 40 years old with hemafecia.