不同年龄段结直肠息肉患者临床的的特点分析.docVIP

不同年龄段结直肠息肉患者临床的的特点分析 　　[摘要] 目的 探讨不同年龄段结直肠息肉患者的临床、镜下及病理特点。 方法 将 2010年4月～2015年4月期间于我院接受肠镜检查发现的结直肠息肉病例2805例按年龄分为青年组、中年组、老年组，对三组患者的息肉检出率、性别构成比、息肉大小、分布及病理特征等进行比较。 结果 共检出2805例结直肠息肉患者，检出率为21.70%（2805/12924），男女比例为1.52∶1，年龄13～89岁，平均（56.1±12.5）岁。三组间性别构成比差异无统计学意义（χ2=0.892，P=0.640）；息肉检出率随着年龄的增长呈上升趋势（χ2=39.098，P0.01）、三组患者息肉均以左半结肠好发，老年组患者左半结肠和全结肠息肉的比例增加（χ2=38.975，P0.01），更易出现多发息肉（χ2=36.338，P0.01）；三组均以直径≤5 mm的微小息肉最常见，但老年组≥1.0 cm大息肉的息肉比例显著增加（χ2=9.631，P=0.047）；三个年龄组息肉的病理类型均以管状腺瘤最常见，但青年组炎性息肉比例明显高于中、老年组，老年组绒毛状腺瘤的比例高于青、中年组，三组间比较差异有统计学意义（χ2=44.516，P0.01）。 结论 结直肠息肉发病特点和临床特征与患者年龄密切相关，临床上应结合不同年龄段的发病规律和镜下特征确定治疗方法及随访策略。 　　[关键词] 结直肠息肉；腺瘤性息肉；年龄；临床特征 　　[中图分类号] R657.1 [文献标识码] A [文章编号] 1673-9701（2015）28-0015-04 　　The clinical characteristics of colorectal polyps in different age groups 　　ZHANG Zhiliang1 LIU Jinchun2 ZHAO Fen1 YANG Jing1 　　1.The First Clinical Mmedical College of Shanxi Medical University， Taiyuan 030001，China； 2.Digestive System Department， the First Clinical Hospital of Shanxi Medical University， Taiyuan 030001， China 　　[Abstract] Objective To investigate the clinical，endoscopic and histopathological features of colorectal polyps in different age groups. Methods 2805 patients with colorectal polyps who underwent complete colonoscopy during April 2010 to April 2015 in our hospital were enrolled into this study. Patients were divided into young group，middle-aged group， elderly group according to age. The polyp detection rate， gender composition， polyp number， size， location and histological types were compared between the three groups. Results There were 2805 patients（1113 women and 1692 men） with 7154 colorectal polyps in total. The detection rate was 21.70%（2805/12924）. Their average age was （56.12±12.50） among 13-89 years old， male and female ratio was 1.52∶1. Well the genders difference among different age groups had no statistical significance （χ2=0.892，P=0.640）； Polyp detection rate increased with the growing age， and elderly group was obviously higher than young grou