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结直肠疾病临床特点的趋势分析
引用本文:杨斌,李超,朱华军,程曦,何友军,胡欣.结直肠疾病临床特点的趋势分析[J].现代生物医学进展,2015,15(8):1483-1487.
作者姓名:杨斌  李超  朱华军  程曦  何友军  胡欣
作者单位:中国人民解放军第105医院干部病房;海军总医院消化内科
基金项目:北京市科委科研基金项目(Z111107067311051)
摘    要:目的:通过分析患者的临床资料,探讨结直肠疾病的临床特点,为临床诊断和治疗提供参考。方法:回顾性分析我院肠镜室2012年5月-2013年4月(A)及2005年5月-2006年4月(B)两个时间段经电子肠镜检查的人群的性别、年龄及结直肠疾病的检出、息肉及癌的病变部位及病理类型情况。结果:两时间段结直肠器质性疾病发病率均较高,且A时间段比B时间段结直肠器质性疾病发病率升高(57.68%:45.13%),结直肠息肉及炎发病率升高(35.09%:19.76%和21.90%:14.45%),腺瘤性息肉比率升高(76.84%:68.33%),左半结肠息肉及癌的比率降低(60.88%:72.27%和60.00%:77.55%)。结论:结直肠疾病的发病人群分布发生改变,发病率呈逐年升高趋势。结直肠息肉的病理分型、发生部位及结直肠癌的发生部位有显著变化。

关 键 词:结肠癌  结肠息肉  肠镜检查  病理类型  部位

Analysis on the Trend of Colorectal Diseases' Clinical Features
Abstract:Objective:To investigate the clinical characteristics of colorectal diseases by analyzing the clinical data of patients so as to provide a refenrence for clinical diagnosis and treatment.Methods:A retrospective analysis was performed about the clinical data of patients who had taken the colonoscopy examinations in our hospital from between 2012 and April 2013 (period A), May 2005 and April 2006(period B).Results:The incidence rates of colorectal organic diseases were high in both periods. Compared with the Period B, the rate of A was higher in the organic disease (57.68%), the colorectal polyps (35.09%), the inflammation (21.90%), the adenomatous polyps ratio (76.84%), but the rate was lower in the left colon polyps (60.88%) and cancer rate (60.00%).Conclusion:The distribution of population with colorectal disease has changed and the incidence of colorectal disease has increased in recent years. There might be the relationship between the pathological type and location of colorectal polyps and the cancer.
Keywords:Colorectal cancer  Polyp  Colonoscopy  Pathological type  Location
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