影响肠镜检出率相关单因素分析

Analysis of the related single factors that affecting the detection rate of enteroscopy

目的:分析影响纤维结肠镜检查镜检阳性率的各种因素,指导临床提高结肠镜检查的准确率。方法:选取2014年6月-2019年6月完成纤维结肠镜检查的受检者11995例,按年龄、肠道准备情况、息肉检出率、肠镜麻醉情况分组。对比分析各组息肉检出率(PDR)。结果:相对无症状人群A组2157例中,男性PDR高于女性,差异有统计学意义(P<0.01);3个年龄段中,随着年龄升高,PDR随之升高,差异有统计学意义(P<0.01);PDR与肠道准备情况呈正比,差异有统计学意义(P<0.01)。有症状人群B组9838人,PDR与相对无症状人员A组呈现同一趋势。结论:本地区PDR呈现为男性高于女性,与年龄呈正相关,清洁的肠道准备有助于提高肠镜检出率,且相对无症状人群与有症状人群趋势一致。随着息肉发病率升高且呈现年轻化趋势,有症状人群的肠镜检查及相对无症状人群的肠镜筛查显得尤其重要。

Objective:To analyze the factors that influencing the positive rate of fiber colonoscopy and guide the clinicians how to improve the accuracy of colonoscopy.Methods:From June 2014 to June 2019,11995 people who had completed fiberoptic colonoscopy were selected,they were grouped by the ages,the intestinal preparations,the detection rate of polyp and anesthesia.The polyp detection rate(PDR)in each group was compared.Results:There were 2157 people in the A group of relatively asymptomatic group,the males'PDR was higher than females',the difference was statistically significant(P<0.01).In the three age groups,as the ages increased,the PDR also increased,the difference was statistically significant(P<0.01).The PDR was proportional to intestinal preparations,the difference was statistically significant(P<0.01).There were 9838 people in the B group of symptomatic group,the PDR showed the same trend as A group of relatively asymptomatic group.Conclusion:In this area,the PDR of males is higher than the females,and it is positively correlated with the ages,cleaning intestinal preparations helps to improve the detection rate of enteroscopy,the trend of relatively asymptomatic population and symptomatic population is consistent.With the increasing incidence of polyps and showing a trend of younger,the colonoscopy of the symptomatic population and the relative asymptomatic population screening is particularly important.