基于结肠镜检查者结直肠腺瘤危险因素分析

目的:探讨结直肠腺瘤(CRA)的危险因素.方法:从解放军281医院接受肠镜检查的患者及健康体检者中纳入研究对象.制备《结直肠腺瘤相关因素调查表》,共包含29项指标.于接受或预约结肠镜检查前进行问卷调查,共计完成8896份调查表,对比分析各因素下CRA的检出率,并对CRA的危险因素进行单因素及多因素分析.结果:8896例患者中共检出CRA1502例,检出率为16.9%.单因素分析发现29项调查项目中有19项为CRA的危险因素.多因素分析发现11项CRA的独立高危因素.结论:CRA有多种危险因素,应充分认识这些危险因素并引起足够的重视,有利于CRA的早期发现和治疗,并且减少CRA向CRC的转变.

Analysis of risk factors for colorectal adenoma based on those detected with colonoscopy

ObjectiveTo explore the risk factors for colorectal adenoma (CRA).Methods The observed objects were brought into from the patients or healthy examination groups accepted colonoscopy. The "Questionnaire of related factors for colorectal adenoma" including 29 factors was prepared, and the surveys were finished before the detection or reservation of colonoscopy. There were 8896 questionnaires were finished. The detection rate of CRA under different factors were compared and the risk factors of CRA were analyzed by single factor or multiple factor analysis.Results There were 1502 patients (16.9%) were detected with CRA in 8896 patients. There were 19 risk factors were found out by single factor analysis. There were 11 risk factors of CRA were checked out by multiple factor analysis.Conclusion There are multiple risk factors of CRA, and recogni-tion of the factors is helpful to early diagnosis and treatment of CRA and relieving the transformation form CRA to CRC.