结直肠无蒂型锯齿状腺瘤检出率及其相关影响因素  

The analysis of detection rate and risk factors of colorectal sessile serrated adenoma

作　　者：刘宇虎[1] 詹磊磊[1] 陈桂权[1] 彭冬 陈靖[1] 张世豪[1] LIU Yu-hu;ZHAN Lei-lei;CHEN Gui-quan;PENG Dong;CHEN Jin;ZHANG Shi-hao(Dongguan People's Hospital,Dongguan ,Guangdong 523059,China)

机构地区：[1]东莞市人民医院,广东东莞523059

出　　处：《热带医学杂志》2019年第1期65-67,F0003,共4页Journal of Tropical Medicine

基　　金：东莞市科技计划项目(2015105101195)

摘　　要：目的探讨结直肠无蒂型锯齿状腺瘤(SSA)检出率及其相关影响因素。方法收集2017年1-12月于本院接受肠镜检查的11 345例患者的临床资料进行回顾性分析,计算SSA检出率,采用Logistic回归分析影响SSA检出率的独立相关因素。结果 11 345例患者临床资料进入筛选,最后纳入7 733例患者,其中男性4 655例,女性3 078例,平均年龄(58.2±8.3)岁;7 733例患者检出息肉者1 678例(2 918枚),息肉检出率为21.70%,其中SSA检出76例(86枚),检出率为0.98%,息肉构成比占4.53%。单因素分析结果显示,肠道清洁度、退镜时间、息肉大小、腺瘤检出率与SSA检出率相关(P<0.05),多因素分析结果显示,腺瘤检出率是SSA检出率的独立预测因子(P<0.05)。结论结直肠腺瘤的患者并发SSA风险更高,临床医生应加强对此类病变的警惕性。Objective To discuss the detection rate and risk factors of colorectal sessile serrated adenoma(SSA).Methods Overall 11 345 patients who received colonoscopy in our hospital from January 2017 to December 2017 were recruited into this study. The clinical data was retrospective analysed;the detection rate of SSA was counted,and the risk factors of SSA were analysed through Logistic regression. Results The clinical data of 11 345 patients were screened, and7 733 patients were enrolled, including 4 655 males and 3 078 females,with an average age of( 58.2±8.3) years. Among 7 733 patients, 1 678 cases(2 918 polyps) were detected, and the detection rate of polyp was 21.70%, among which SSA were found in 76 cases(86 polyps), and the detection rate was 0.98%, and the proportion of polyp was 4.53%. Logistic regression analysis and single factor analysis results showed that the intestinal cleanliness, mirror back time, polyp size,adenomatous polyp detection rate were related with the SSA detection rate(P<0.05), and multi-factor analysis showed that adenoma detection rate was an independent predictor of SSA detection rate( P<0.05). Conclusion Patients with colorectal adenomas are at higher risk of concurrent SSA, and clinicians should enhance their vigilance against such lesions.

关 键 词：腺瘤 无蒂型锯齿状腺瘤 检出率 

分 类 号：R730.261[医药卫生—肿瘤]