摘要
目的探讨我国结直肠癌平均风险人群结肠镜检查中的息肉检出率和腺瘤检出率及其年龄分布情况，为确定我国结直肠癌筛查起始年龄提供线索和数据支持。方法采用回顾性分析方法，调取2010年3月至2013年2月间进行“体检肠镜”检查的患者资料，按照不同性别、年龄组、肠道准备质量分别计算息肉检出率和腺瘤检出率。各组间率比较采用z。检验。结果共有1928例患者完成体检全结肠镜检查。总的息肉检出率为19．55％[95％CI（17．78％-21．32％）]，男性为23．87％，女性为10．00％。40～70岁各年龄组息肉检出率男性均显著高于女性（P〈0．05）。总的腺瘤检出率为11．48％[95％CI（9．69％～13．28％）]，男性为14．68％，女性为5．11％。40—70岁各年龄组腺瘤检出率男性均显著高于女性（P〈0．05）。肠道准备优良组息肉检出率显著优于较差组（P〈0．05）。结论息肉检出率和腺瘤检出率均随年龄增长而提高，男性较之女性有更大的息肉、腺瘤发生风险。肠道准备质量对息肉检出率有直接的影响。
Objective To evaluate the colonoscopic polyp detection rate （PDR） and adenoma de- tection rate （ADR） in average risk population of colorectal cancer and its age distribution, and to provide ev- idence for determining the starting age for screening colonoscopy in China. Methods Retrospective analysis was applied. Data of patients who received screening colonoseopy in the Digestive Endoscopic Center of Changhai Hospital from March 2010 to February 2013 were collected. PDR and ADR were calculated by dif- ferent genders, age groups and bowel preparation scores. Thex2 test was used to compare the PDR and ADR between different groups. Results A total of 1 928 patients received complete colonoseopies. The total PDR was 19. 55% [95% CI（ 17.78% -21.32% ） ], 23.87% and 10. 00% for men and women respectively. PDR of men was significantly higher than that of women among 40 to 70-year groups （ P 〈 0. 05 ）. The total ADR was 11.48% [95% CI（9.69% -13.28% ） ], 14. 68% and 5. 11% for men and women respectively. ADR of men was significantly higher than that of women among 40 to 70-year groups （ P 〈 O. 05 ）. The PDR of well preparation group was significantly higher than that of compromised preparation group （P 〈0. 05 ）. Conclusion Both PDR and ADR increase with age. And men have greater risk to develop polyps and adenomas than women. The quality of bowel preparation is directly related to PDR.
出处
《中华消化内镜杂志》
2014年第2期64-68,共5页
Chinese Journal of Digestive Endoscopy
基金
长海医院“1255”学科建设资助（CH125530800）
关键词
肠息肉
结肠镜检查
人群监测
筛查
腺瘤检出率
肠道准备
Intestinal polyps
Colonoscopy
Population surveillance
Screening
Adenoma detection rate
Bowel preparation
