上海某镇173例大肠息肉特点分析.docVIP

上海某镇173例大肠息肉的特点分析 　　摘 要 目的：了解洞泾镇大肠癌初筛阳性居民中大肠息肉的患病特点。方法：在大肠癌初查阳性并进行结肠镜检查的522例对象中，收集到173例被诊断为大肠息肉患者的信息，分析大肠息肉患病的性别和年龄分布以及大肠息肉类型与患病部位的关系。结果：在173例大肠息肉患者中，男性检出率42.25%，女性检出率24.24%，差异有统计学意义（P0.05），50岁及以上受检者的大肠息肉检出率高于50岁以下受检者（34.7%比12.1%，P0.05）。类型以腺瘤性息肉最多（75.14%），发病部位以直肠（32.95%）和乙状结肠（23.70%）为主。结论：大肠息肉的发病与年龄和性别有关，腺瘤型息肉居多，好发部位为直肠和乙状结肠。 　　关键词 大肠癌；筛查；息肉；分析 　　中图分类号：R735.3+4 文献标志码：A 文章编号：1006-1533（2017）24-0051-03 　　Analysis of colorectal polyps characteristics in 173 cases in a town of Shanghai 　　XU Yuanyuan， XU Ronghui 　　（Dongjing Community Health Service Center of Songjiang District， Shanghai 201619， China） 　　ABSTRACT Objective： To investigate the characteristics of colorectal polyps in the colorectal cancer screening positive residents in Dongjing town. Methods： In 522 cases of a positive initial screening of colorectal cancer and having received colonoscopy， the information of 173 patients diagnosed with colorectal polyps was collected and the distribution of sex and age of colorectal polyps， the relationship between colorectal polyps and the location of colorectal polyps were analyzed. Results： In 173 cases of colorectal polyps， the detection rate of the male was 42.25%， the detection rate of the female was 24.24%， and the difference was statistically significant （P0.05）. The detection rates of colorectal polyps in subjects aged 50 years and over were higher than those under 50 years of age （34.7% to 12.1%， P0.05）. The type of adenomatous polyp was the most （75.14%）. The location of the disease was mainly rectum （32.95%） and sigmoid colon （23.70%）. Conclusion： The incidence of colorectal polyps is related to age and sex. Adenomatous polyps are the most frequent and the predilection sites are rectum and sigmoid colon. 　　KEY WORDS colorectal carcinoma； screening； polyp； analysis 　　大肠息肉是消化系统的常见病，其中腺瘤性息肉是公认的癌前病变，与大肠癌的发生密切相关[1]，了解大肠息肉的发病情况及特点对于预防大肠癌的发生有?e极意义。按照上海市重大公共卫生项目的要求[2]，本镇自2012年以来，持续开展大肠癌筛查工作。本文旨在对2015至2016年本镇大肠癌筛查检出的173例大肠息肉患者信息进行分析。 　　1 对象与方法 　　1.1 对象 　　研究对