结直肠腺瘤性息肉切除术后内镜复诊的现状调查及影响因素分析

Analysis on the current status and influencing factors of colonoscopy re-examination after colorectal adenomatous polypectomy

目的:探讨结直肠腺瘤性息肉切除术后患者内镜复诊的依从性及影响因素。方法:选取2015年1月1日至2016年8月31日首次在我院内镜中心进行内镜下息肉治疗,且病理诊断为腺瘤性息肉的住院患者,对内镜复诊的情况及影响因素进行统计学分析。结果:获得1013例结直肠镜复诊患者的资料。单因素分析显示,患者居住地,有无症状,息肉位置、大小、病理类型及息肉切除手术种数对腺瘤性肠息肉患者肠镜复诊行为影响明显(P<0.05);Logistic回归分析显示,患者居住地、息肉位置、病理类型、手术种数及有无症状具有统计学意义(P<0.05)。结论:本资料结直肠腺瘤性息肉患者内镜复诊依从性不高;需要规范落实促进患者内镜复诊的因素,减少阻碍内镜复诊的因素,进而有望降低结直肠癌的发生率。

Objective:To investigate the patient compliance and influencing factors of colonoscopy re-examination after experiencing colorectal adenomatous polypectomy.Methods:Patients who were diagnosed of adenomatous polyp and received their first endoscopic polyp treatment in the Second Affiliated Hospital of Nantong University Endoscopy Center between January 1,2015 and August 31,2016 were selected as subjects of this study.Statistical analysis was performed on the influencing factors of colonoscopy re-examination.Results:We collected data on 1013 cases of colorectal endoscopy re-examination.Single factor analysis showed that decisions of re-examination were significantly(P<0.05)impacted by patients location of residence,presence of symptoms,location,size and pathological type of the polyp,and the method of resection.Logistic regression analysis revealed that the location of residence,the polyp location,the pathological type,the type of surgery and the presence of symptoms were statistically significant(P<0.05)in affecting the decision of re-examination.Conclusion:Re-examination compliance is low in patients with colon adenomatous polyps.It is necessary to standardize influencing factors which promote re-examination and reduce factors which hinder colonoscopy re-examination,thus reducing the incidence of colorectal cancer.