结直肠腺瘤患者经内镜切除术治疗后复发的高危因素分析

Analysis of High-risk Factors for Recurrence in Patients with Colorectal Adenoma After Endoscopic Resection

目的探究结直肠腺瘤经内镜切除术后复发情况及其复发的相关因素。方法回顾性分析125例结直肠腺瘤患者的临床资料,患者均接受经内镜切除术,术后随访1年,统计复发情况,并分析术后复发的有关影响因素。结果行经内镜切除术的125例结直肠腺瘤患者中,术后共有24例(19.20%)复发;Logistic回归分析显示:有吸烟史(OR=4.580,95%CI=1.74~12.092)、有饮酒史(OR=3.594,95%CI=1.423~9.078)、有糖尿病史(OR=4.966,95%CI=1.917~12.864)、腺瘤直径≥1 cm(OR=6.041,95%CI=2.086~17.497)是结直肠腺瘤患者经内镜切除术后复发的独立危险因素(P<0.05)。结论有吸烟史、有饮酒史、有糖尿病史、腺瘤直径≥1 cm是结直肠腺瘤患者经内镜切除术后复发的独立危险因素。

Objective To investigate the recurrence of colorectal adenomas after endoscopic resection and its related factors.Methods A retrospective analysis was conducted on the clinical data of 125 patients with colorectal adenomas,all of whom underwent endoscopic resection and were followed up for 1 year after surgery to record the recurrence rate,and analyze the influencing factors of postoperative recurrence.Results Among the 125 patients with colorectal adenomas who underwent endoscopic resection,a total of 24 cases(19.20%)experienced recurrence after surgery;Logistic regression analysis showed that smoking history(OR=4.580,95%CI=1.74~12.092),drinking history(OR=3.594,95%CI=1.423~9.078),diabetes history(OR=4.966,95%CI=1.917~12.864),adenoma diameter≥1 cm(OR=6.041,95%CI=2.086~17.497)were independent risk factors for recurrence of colorectal adenoma patients after endoscopic resection(P<0.05).Conclusion Smoking history,drinking history,diabetes history,adenoma diameter≥1 cm are independent risk factors for recurrence of colorectal adenoma after endoscopic resection.