新疆昌吉地区回族及汉族结肠息肉患者的临床研究

Clinical Study on Hui and Han Nationality Patients with Colon Polyps in Changji, Xinjiang

目的通过比较昌吉地区回族与汉族人群结肠息肉的临床资料,了解其发病特点。方法方便选取2015年1月—2017年12月在昌吉州中医医院期间住院行电子结肠镜下息肉切除并送组织病理学检查确诊的结肠息肉患者312例为研究对象(其中回族95例,汉族217例),收集其临床资料、结肠镜下表现、病理资料,使用统计学软件进行统计学分析。结果回、汉族患者在性别、BMI、吸烟史、饮酒史、家族史方面的差异无统计学意义(P>0.05)。回族患者结肠息肉的发病年龄小于汉族患者,差异有统计学意义(χ^2=13.946,P<0.05)。回族患者中单发结肠息肉的28例,多发的67例;汉族患者中单发结肠息肉的95例,多发的122例,两者比较差异有统计学意义(χ^2=5.662,P<0.05)。回族患者中结肠息肉<1 cm的154个,结肠息肉≥1 cm的32个;汉族患者中结肠息肉<1 cm的313个,结肠息肉≥1 cm的39个,两者比较差异有统计学意义(χ^2=3.985,P<0.05)。回族患者中肿瘤性息肉40例,非肿瘤性息肉55例;汉族患者中肿瘤性息肉83例,非肿瘤性息肉134例,两者比较差异无统计学意义(χ^2=1.239,P>0.05)。结论回族结肠息肉患者的发病年龄早于汉族,回族多发结肠息肉及息肉超过1 cm的患者比例高于汉族。

Objective To compare the clinical features of colon polyps in Hui and Han Nationality patients in Changji area.Methods From January 2015 to December 2017,convenient selected 312 patients with colon polyps diagnosed by esophageal polypectomy and histopathological examination were enrolled in Changji Traditional Chinese Medicine Hospital.Among them,95 were Hui and 217 were Han,collect clinical data,colonoscopy,pathological data,and use statistical software for statistical analysis.Results There were no statistically significant differences in gender,BMI,smoking history,drinking history,and family history between the Han and Han patients(P>0.05).The age of onset of colon polyps in Hui patients was lower than that in Han patients,and the difference was statistically significant(χ^2=13.946,P<0.05).Among the Hui patients,28 cases had single colon polyps and 67 cases had multiple cases.Among the Han patients,95 cases had single colon polyps and 122 cases had multiple cases.The difference was statistically significant(χ^2=5.662,P<0.05).Among the Hui patients,there were 154 colon polyps<1 cm and 32 colon polyps≥1 cm;Han patients had 313 colon polyps<1 cm and colon polyps≥1 cm 39;the difference was statistically significant(χ^2=3.985,P<0.05).There were 40 cases of neoplastic polyps in the Hui patients,55 cases of non-neoplastic polyps,83 cases of neoplastic polyps in the Han patients,and 134 cases of non-neoplastic polyps.There was no statistically significant difference between the two groups(χ^2=1.239,P>0.05).Conclusion The age of onset of colon polyp in Hui nationality is earlier than that of Han nationality.The proportion of patients with multiple colon polyps and polyps more than 1 cm is higher than that of Han nationality.