2011～2015年某院1013例大肠息肉临床特征及变化趋势分析

Analysis on clinical features and changes of 1013 cases of colorectal polyps in a central hospital from 2011 to 2015

目的探讨近江津区中心医院近5年大肠息肉患者的临床特征及变化趋势。方法收集2011-2015年在该院经结肠镜检查发现大肠息肉的门诊及住院患者,回顾性分析每例患者的性别、年龄、息肉部位、大小、数目、临床表现及病理结果等指标,对其进行统计分析及比较。结果大肠息肉患者中男女比例为1.56∶1(P<0.05),中老年组多发(P<0.05),左半结肠占到53.0%(P<0.05),多为单发(48.0%)、直径大部分在1cm内,以管状腺瘤(54.0%)多见。大肠息肉患者中29.9%有腹痛表现,29.0%有大便习惯及性状改变,仅6.7%的患者有典型的便血。结论该院近5年大肠息肉患者的临床特征变化不明显。

Objective To investigate the clinical features and changes of the patients with colorectal polyps in the recent 5 years of the Central Hospital of Jiangjin district. Methods Inpatients and outpatients with colorectal polyps found by colonoscopy were collected from January 2011 to December 2015 in Central Hospital of of Jiangjin district. Index of each patient＇s gender,age, the location, size, number and pathological results of each enrolled. Then the data were analyzed statistically. Results Patients with colorectal polyps in the ratio of male to female was 1.56 ： 1（P〈0.05）,middle and old aged group multiple （compared with the young group,P〈0.05） ;left half colon accounted for 53.0 % （P〈~0.05）, 48.0 % of them were single shot,diameter≤l cm accoun- ted for most. Adenomatous polyp accounted for 71.0% ,most of them were tubular adenoma （54. 0%）. 29.9% of patients with colorectal polyps had abdominal pain,29.0% changed in bowel habits and traits,only 6.7% of the patients had typical hematoche- zia. Conclusion According to the anlysis results there＇s no obvious changes happened on the clinical features of cotorectal polyps in the past 5 years.