本文選題：健康體檢 + 結(jié)腸鏡　； 參考：《新疆醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的：了解新疆地區(qū)無癥狀體檢人群的結(jié)直腸疾病患病情況,探討對(duì)無癥狀人群進(jìn)行結(jié)腸鏡篩查的必要性。方法：納入于2009年7月～2013年6月在新疆維吾爾自治區(qū)人民醫(yī)院自愿接受結(jié)腸鏡檢查的無癥狀健康體檢者,對(duì)其檢查結(jié)果進(jìn)行回顧性分析。結(jié)果：共1970例體檢者納入研究,結(jié)直腸粘膜病變總體病變檢出率為39.4%,其中結(jié)直腸息肉376例(19.1%),結(jié)直腸癌10例(0.5%),結(jié)腸黑變病38例(1.9%)。檢出的560枚息肉中,以分布于左半結(jié)腸的管狀腺瘤居多。男性息肉檢出率顯著高于女性(24.6%對(duì)11.2%,P0.001)；結(jié)直腸息肉檢出率隨年齡增長呈上升趨勢,≥50歲年齡段人群檢出率顯著高于50歲年齡段人群(25.9%對(duì)14.3%,P0.05)；漢族人群息肉檢出率顯著高于維吾爾族和哈薩克族人群(22.6%對(duì)10.9%和10.9%,P0.05)。結(jié)論：無癥狀人群結(jié)直腸癌檢出率較低；結(jié)直腸息肉檢出率較高,且結(jié)直腸息肉具有一定分布特征：病理類型(腺瘤性息肉居多)、民族(漢族高于少數(shù)民族),性別(男性多于女性)、年齡(檢出率隨著年齡增高而升高)；40歲以上無癥狀人群進(jìn)行結(jié)腸鏡檢查,有利于早期結(jié)直腸腫瘤及癌前病變的早發(fā)現(xiàn)及早治療。
[Abstract]:Objective: to investigate the prevalence of colorectal diseases in asymptomatic physical examination population in Xinjiang and to explore the necessity of colonoscopy screening in asymptomatic population. Methods: from July 2009 to June 2013, the asymptomatic healthy persons who voluntarily underwent colonoscopy in the people's Hospital of Xinjiang Uygur Autonomous region were included and the results were analyzed retrospectively. Results: the total detection rate of colorectal mucosal lesions was 39.4% (376 / 1970), 10 (0.5%) and 38 (1.9%) of colorectal polyps, colorectal cancer and melanosis, respectively. The total detection rate of colorectal mucosal lesions was 39.4%, including 376cases (19.1%) of colorectal polyps, 10 cases (0.5%) of colorectal cancer and 38 cases (1.9%) of melanosis. Most of the 560 polyps detected were tubular adenomas in the left colon. The detection rate of polyps in males was significantly higher than that in females (24.6% vs 11.2, P0.001), the detection rate of colorectal polyps increased with age, and the detection rate of colorectal polyps was significantly higher in people aged 鈮，

本文編號(hào)：2057899