11557例电子结肠镜检查结果分析

Analysis of electronic colonoscopy examination results in 11557 cases

目的探讨下消化道疾病的发病规律及电子结肠镜检查的诊断价值。方法回顾性分析2014年1月1日至2022年12月31日于该院行电子结肠镜检查的11557例患者临床资料。结果11557例电子结肠镜检查者中结直肠息肉3423例(29.62%),非特异性结肠炎343例(2.97%),结直肠癌300例(2.60%),回肠末段炎216例(1.87%),溃疡性结肠炎213例(1.84%),结直肠黑变病169例(1.46%),结直肠黏膜隆起病变70例(0.61%),结肠憩室67例(0.58%);不同年龄组结直肠息肉、结直肠癌、回肠末段炎、结直肠黑变病、结直肠黏膜隆起病变检出率比较,差异均有统计学意义(P<0.05);男性结直肠息肉、结肠憩室检出率明显高于女性(P<0.05);回肠末段炎<45岁组男性检出率明显高于女性(P<0.05),溃疡性结肠炎≥60岁组男性检出率明显高于女性(P<0.05),结直肠黑变病<45岁组女性检出率明显高于男性(P<0.05),结肠憩室45~<60岁组男性检出率明显高于女性(P<0.05)。结论结直肠息肉、非特异性结肠炎、结直肠癌、回肠末段炎、溃疡性结肠炎、结直肠黑变病均为结直肠常见疾病;结直肠息肉好发于男性,≥45岁为结直肠病变的高发年龄段。

Objective To investigate the pathogenesis rule of lower gastrointestinal diseases and the diagnostic value of electronic colonoscopy examination.Methods The clinical data of 11557 patients who underwent electronic colonoscopy in the hospital from January 1,2014 to December 31,2022 were retrospectively analyzed.Results Among the 11557 cases examined by electronic colonoscopy,3423 cases(29.62%)of colorectal polyps,343 cases(2.97%)of non-specific colitis,300 cases(2.60%)of colorectal cancer,216 cases(1.87%)of terminal ileal inflammation,213 cases(1.84%)of ulcerative colitis.There were 169 cases of colorectal melanosis(1.46%),70 cases of colorectal mucosal uplift(0.61%)and 67 cases of colonic diverticulum(0.58%).There were significant differences in the detection rates of colorectal polyps,colorectal cancer,ileal terminal inflammation,colorectal melanosis and colorectal mucosal eminence among different age groups(P<0.05).The detection rate of colorectal polyp and colon diverticula in male was significantly higher than that in female(P<0.05).The detection rate of men in the<45 year old group was significantly higher than that of women(P<0.05),the detection rate of men in the ulcerative colitis≥60 year old group was significantly higher than that of women(P<0.05),and the detection rate of women in the<45 year old group was significantly higher than that of men(P<0.05).The detection rate of colonic diverticula in 45-<60 year old men was significantly higher than that in women(P<0.05).Conclusion Colorectal polyps,non-specific colitis,colorectal cancer,terminal ileitis,ulcerative colitis and melanosis coli are common diseases of large intestine.Colorectal polyps are apt to happen in male,≥45 years old is the high incidence age of large intestine diseases.