结肠息肉切除术后随访规律及影响因素研究  

Study on follow-up regulation and influenced factors after colon polyptectomy

作　　者：王怀唐 郭银燕[1] Wang Huaitang;Guo Yinyan(Department of Gastroenterology,Beijing Haidian Hospital,Haidian Section of Peking University Third Hospital,Beijing 100080)

机构地区：[1]北京市海淀医院北京大学第三医院海淀院区消化内科,100080

出　　处：《中国现代医药杂志》2020年第3期32-35,共4页Modern Medicine Journal of China

摘　　要：目的探讨结肠息肉切除术后的随访规律及可能的影响因素,为制定适合我国人口特点的结肠息肉切除术后随访策略提供理论支持.方法随机选取2010年1月~2018年12月经电子结肠镜检查确诊存在结肠息肉并在我院消化内镜中心进行复查的351例患者为研究对象,分析患者首次电子结肠镜检查时的年龄、性别、病灶部位、息肉数目、息肉大小等临床特征,并观察电子结肠镜复查时是否发现新的息肉以及复查次数、复查间隔时间.结果结肠息肉多见于中老年男性,常发生于远端结肠(51.85%),单发比例高(62.11%),以直径<1cm小息肉为主(86.04%).切除术后,以复查1~2次为主,占入选患者总数的95.15%;首次复查间隔≤12个月的患者最多,占入选患者总数的35.61%.复查次数与年龄、性别、息肉部位、息肉数目、息肉大小、复查是否发现息肉无明显相关性(P>0.05).复查间隔时间与年龄、性别、息肉部位、复查是否发现息肉无明显相关性(P>0.05),而与息肉数目、大小具有明显相关性(P<0.05).结论结肠息肉患者复查次数多为1~2次.多发性结肠息肉以及息肉直径>1cm的患者首次复查间隔时间多在12个月以内.随着息肉数目的增多、息肉直径的增大,具有复查次数增多,首次复查间隔时间缩短的趋势.Objective To explore the follow-up regulation and possible influenced factors after colon polypectomy and provide theoretical support for the formulation after colon polyptectomy follow-up strategies according to the country's actual conditions.Methods 351 patients with colorectal ployps were randomly selected in our department of gastroenterology from Jan 2010 to Dec 2018.The characteristic of colorectal polyps was analyzed according to initial colonoscopy,including age,gender,location,number,size.The polyp recurrence,follow-up times,initial followup interval were recorded on the initial follow-up.Results The medium-elderly men were accounted for the largest proportion in the patients with colorectal ployps.Most colorectal ployps were in the distal colon(51.85%),solitary(62.11%)and with diameter of less than 1cm(86.04%).95.15%of the patients were reviewed with 1 or 2 times after colon polypectomy.The patients reviewed within 12 months were accounted for the largest proportion(35.61%).The differences of follow-up times didn't have statistically significant correlation with age,gender,location,polyp number and size,polyp recurrence(P>0.05).The differences of initial follow-up interval didn't have statistically significant correlation with age,gender,location,polyp recurrence(P>0.05),but had statistically significant correlation with polyps number and size(P<0.05).Conclusion The patients with colorectal polyps were reviewed with 1 or 2 times colorectal after colon polyptectomy.Patients with multiple polyps and polyps larger than 1cm in diameter are more likely to accept the first colonoscopy in 12 months.The polyptectomy follow-up of colorectal polyps is more frequently with a longer interval time and longer follow-up of repeated reviews in big,numerous colorectal polyps.

关 键 词：结肠息肉 结肠镜检查 随访 

分 类 号：R656.9[医药卫生—外科学]