70例老年性结肠憩室结肠镜资料分析

ANALYSIS OF COLONOSCOPIC FINDINGS IN 70 DIVERTICULA OF COLON IN 70 ELDERLY PATIENTS

目的 为探索老年性结肠憩室病的临床特征。方法 对 1996年 1月～ 2 0 0 1年 12月 6年间 ,解放军总医院胃镜室经结肠镜检查证实的 60岁以上老年性结肠憩室 70例的临床资料进行分析比较。男 5 4例 ,女 16例。年龄 60～ 84岁 ,平均 68.70± 5 3 9岁。结果 ①随年龄增加 ,结肠憩室及多发憩室检出率增高 ;②男性结肠憩室检出率高于女性 ;③无论单发或多发憩室 ,均好发于右半结肠 ,右左之比为 2 8∶1( 42∶15 ) ,其中 ,以单发憩室更为明显。结论 ①结肠憩室产生与年龄等方面有关 ;②老年人右半结肠发病率相对低于年轻人 ;

Objective Finding characteristic of senile colon diverticula in 70 cases senile colon diverticula diagnosed by colonoscope through comparing and summarizing. Methods From Jan 1997 to Dec 2001, 70 cases older than 60 years old senile colon diverticula diagnosed by colonoscope in endoscopy department of PLA general hospital. Male 54 cases ,female 16 cases .Age from 60 to 84 years old, average age 68.70±5.39. Results ①With age increased, detectable rate of colon diverticula and multiple colon diverticula rised; ②Detectable rate in male higher than female; ③Whether the single or multiple diverticula ,all predilection site is in the right colon, rate of the right to the left is 2.8∶1(42∶15), and the single diverticula is more obvious. Conclusions ①Occurrence of diverticula have relation to age; ②Incidence in the right colon of senile is lower than of young people; ③The left colon diverticula and bilateral colon diverticula in senile is higher than in young people.