结肠高危性腺瘤50例临床分析

目的探讨结肠高危性腺瘤患者与临床的关系。方法根据息肉数量、病理检验结果将152例结肠息肉患者分成高危性组腺瘤、低危性腺瘤组及非腺瘤性息肉组,并对相关临床参数进行统计学处理。结果发现高危性组与其他两组之间在性别上差异无统计学意义(P=0.873),在年龄方面高危腺瘤组与低危性腺瘤组有年龄上差异(P=0.04),而与非腺瘤性息肉组比较差异无统计学意义(P=0.783)。另外在出现血便的症状方面以高危性组较多,而发生在直肠部位的息肉推测以高危性腺瘤组居多,而发生在横结肠部位的息肉则可能以低危性腺瘤组相对较多。结论发生在直肠部位的腺瘤以及出现血便推测以高危性组居多,而发生在横结肠部位的息肉则可能以低危性腺瘤组相对较多,高危性息肉可出现结肠任何部位,有条件尽量做全结肠镜检查。

Clinical analysis of 50 cases with the adenoma of colon at increased risk

Aim To investigate the correlation of patients with colon adenomatous polyps at increased risk with clinic.Methods According to polypous quantities and pathological result,152 cases with colonic polyps were stratified at their baseline into lower risk group,increased risk group and nonadenomatous polyps group,moreover,undertook statistical treatment to related clinical parameter.Results The sex of the increased risk group and that of the other two groups is not significantly different(P=0.873).The age of the increased risk groups and the lower risk group is significantly different(P=0.04),but the age of increased risk group and non-adenomatous polyps group is not significantly different(P=0.783).The cases with bloody stool are mainly in increased risk group.The cases with supposed rectal adenomatous polyps are mainly in the increased risk group,but the cases with polyps in the transverse colon are may be mainly lower risk in the group.Conclusions The rectal adenomatous polyps and the cases accompanied with bloody stool may be increased risk.The adenomatous polyps at increased risk may locate anywhere in the colon,so the patients should receive the colonoscopic assessment throughout the whole colon.