文章摘要
范慧宁,瞿国强,陈维雄,孔武明,刘渊,刘远飞,丁琴.基于结肠镜诊断的散发性大肠腺瘤患病情况及危险因素分析[J].中国临床保健杂志,2020,23(3):396-399.
基于结肠镜诊断的散发性大肠腺瘤患病情况及危险因素分析
Statistical analysis of risk factors for scattered colorectal adenoma based on those detected with colonoscopy
投稿时间:2019-09-10  
DOI:10.3969/J.issn.1672-6790.2020.03.027
中文关键词: 腺瘤,大肠  结肠镜检查  发病率  危险因素
英文关键词: Adenoma,large intestine  Colonoscopy  Incidence  Risk factors 〖FL
基金项目:上海健康医学院种子基金项目(SFP-18-22-14-006);上海市第六人民医院东院院学科基金项目(2017019)
作者单位E-mail
范慧宁 上海交通大学附属第六人民医院消化内科,上海 200233
上海健康医学院附属第六人民医院东院消化内科 
fanhuining2008@126.com 
瞿国强 上海健康医学院附属第六人民医院东院消化内科 qgqahtl@163.com 
陈维雄 上海健康医学院附属第六人民医院东院消化内科  
孔武明 上海健康医学院附属第六人民医院东院消化内科  
刘渊 上海健康医学院附属第六人民医院东院消化内科  
刘远飞 上海健康医学院附属第六人民医院东院消化内科  
丁琴 上海健康医学院附属第六人民医院东院消化内科  
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中文摘要:
      目的 探讨散发性大肠腺瘤的危险因素,提出相应的预防措施。方法 回顾性分析2017年1月至2018年12月上海六院3 470例结肠镜检查者临床资料,并通过logistic回归分析散发性大肠腺瘤型息肉的危险因素。结果 共发现大肠腺瘤型息肉患者570例,患病率为16.42%;其中乙状结肠和直肠是高发部位,年龄、吸烟、学历、脂肪肝史、经常食用海水植物类(海带、紫菜、海苔等)是散发性大肠腺瘤的危险因素(P<0.05)。结论 本地区散发性大肠腺瘤发病率较高,相关危险因素较多;高发人群应定期随访结肠镜检查。
英文摘要:
      Objective To explore risk factors of scattered colorectal adenoma diagnosed based on the colonoscopy preventive measures.Methods A total of 3470 patients underwent colonoscopy were collected and analyzed retrospectively.Clinical data of colonoscopy were analyzed,and risk factors of adenomatous polyps in the colon were analyzed by logistics regression.Results A total of 570 cases of adenomatous polyps were found and the incidence was 16.42%.Among them,sigmoid colon and rectum were the most common sites,age,smoking,education,fatty liver history and frequent consumption of marine plants (kelp and nori,etc.) were the risk factors for scattered colorectal adenomas with significant differences (P<0.05).Conclusion The incidence of scattered colorectal adenoma is relatively high in Shanghai Lingang district,high-risk population should be followed up regularly with colonoscopy.
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