摘要
目的探讨下消化道出血的病因及分布特点。方法对1431例本院2000年1月至2003年12月间下消化道出血患者的肠镜检查结果进行分析。结果下消化道出血的病因依次为结肠癌(27.4%),结肠息肉(20.5%),肛周疾病(包括内痔、肛裂及肛管炎等,16.1%),炎症性肠病(6.1%),结肠炎(3.1%)。结、直肠癌在老年、中年组的发病率明显高于其他年龄组;中年组肛周病变、炎症性肠病的发病率明显高于其他年龄组。青年组中以息肉、炎症性肠病及肛周疾病为多见。结论结、直肠癌、结肠息肉、肛周疾病(包括内痔、肛裂及肛管炎等)、炎症性肠病、结肠炎等疾病是下消化道出血的主要病因。年龄和性别与病因相关。
Objective To appraise the causes and characteristics of lower gastrointestinal tract hemorrhage （LGB）. Methods An analysis was made from the clinical records of 1431 patients with LGB diagnosed by endoscopy in our department during 2000-2003. Results The data showed that the main causes of LGB were as follows., colo-rectal carcinoma（392 cases, 27.4 % ）, colorectal polyps （294 cases, 20.5 % ）, perianal abnormality or Crissum＇s disease （231 cases,16.1%）, inflammatory bowel disease（IBD,88 cases,6. 1%） and colitis （44 cases,3.1%）, etc. The morbidity of large bowel cancer in the elderly and middle-aged groups were obviously higher than that of the other age groups. LGB in the youth group was mainly due to polyps while IBD and perianal lesion or Crissum＇s disease were some what the higher cause of LGB. Conclusion Large intestine carcinoma, polyps,Crissum＇s disease, IBD and colitis are the main causes of LGB, with correlation to age and gender. （Shanghai Med J, 2005,28：589-590）.
出处
《上海医学》
CAS
CSCD
北大核心
2005年第7期589-590,共2页
Shanghai Medical Journal
