健康体检人群胃肠镜检查结果分析  

Analysis of gastroscopy and colonoscopy results in healthy examination population

作　　者：赵莉 李文彬 罗庆锋[2] 关玉霞[3] 林松柏[4] 吴晰[3] Zhao Li;Li Wenbin;Luo Qingfeng;Guan Yuxia;Lin Songbai;Wu Xi(Infirmary,Chinese Academy of Medical Science,Peking Union Medical College,Beijing 100730,China;Department of Gastroenterology,Beijing Hospital,National Center of Gerontology,Beijing 100730,China;Department of Gastroenterology,Peking Union Medical College,Hospital,Chinese Academy of Medical Science,Peking Union Medical College,Beijing 100730,China;Physical Examination Center,Peking Union Medical College Hospital,Chinese Academy of Medical Science,Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院医务室,100730 [2]北京医院消化内科,国家老年医学中心,100730 [3]中国医学科学院北京协和医学院,北京协和医院消化内科,100730 [4]中国医学科学院北京协和医学院,北京协和医院健康体检中心,100730

出　　处：《中华消化内镜杂志》2021年第4期315-318,共4页Chinese Journal of Digestive Endoscopy

摘　　要：分析北京地区健康体检人群胃肠镜检查发现的病变及病变间的关系。回顾2016年1月—2018年12月北京协和医院和北京医院体检中心1663例胃镜检查的结果,结合性别、年龄等相关信息,对各疾病的检出率及相关性进行统计学分析。胃镜检查结果显示,慢性非萎缩性胃炎和慢性萎缩性胃炎分别为1240例(74.6%)和423例(25.4%),40岁以上者慢性萎缩性胃炎更为多见。其他常见疾病包括胃体和(或)胃窦糜烂、胃底腺息肉、反流性食管炎、十二指肠球炎、胆汁反流等。消化道肿瘤包括食管癌和胃癌均为早期病变。结肠镜检查结果显示,结肠息肉为常见病变,包括结肠腺瘤382例(23.0%),增生性息肉217例(13.0%),并且随着年龄的增长而增加。结直肠癌占0.7%。结肠憩室和结肠黑变病更常见于>40岁者。结肠腺瘤以男性多见,结肠黑变病以女性多见。幽门螺杆菌(Helicobacter pylor,HP)快速尿素酶检查阳性率为32.2%。HP感染与胃底腺息肉无明确相关性(P=0.329)。胃底腺息肉与结肠腺瘤、结肠癌之间无明确相关性(P=0.152,P=0.616)。胃肠镜检查在消化道各种疾病,尤其是肿瘤的早诊早治方面有重要作用,应重视其在健康体检中的应用。To analyze the lesion distribution situations and relationship of lesions detected by gastroscopy and colonoscopy in asymptomatic population in Beijing.Data of 1663 patients who received gastroscopy and colonoscopy in the physical examination center of Peking Union Medical College Hospital and Beijing Hospital between January 2016 and December 2018 were analyzed retrospectively.Statistical analysis was conducted on the detection rate and relationship of different lesions based on the information of gender and ages.Gastroscopy data showed that chronic non-atrophic gastritis and chronic atrophic gastritis accounted for 1240(74.6%)and 423(25.4%)cases respectively.Chronic atrophic gastritis was more common in population aged over 40.Other common diseases included erosions of gastric body and/or antrum,fundic gland polyps,reflux esophagitis,duodenitis,bile regurgitation and so on.Upper gastrointestinal tumors including esophagus cancer and gastric cancer were both early lesions.Colonoscopy results showed that colonic polyps were common lesions,among which there were 382(23.0%)cases of colonic adenoma and 217(13.0%)hyperplastic polyps.Incidence of colonic polyps increased with age.Colorectal cancer accounted for 0.7%.Colon diverticulum and melanosis coli were more common in population aged over 40.Colon adenoma was more common in male and melanosis coli was more common in female.The positive rate of HP was 32.2%.There was no positive relationship between HP infection and fundic gland polyps(P=0.329).There was no positive relationship between fundic gland polyps and colon adenomas as well as colorectal cancer(P=0.152,P=0.616).Gastroscopy and colonoscopy play important roles in different kinds of digestive diseases,especially in the early detection of tumors.More attention should be paid to the application of endoscopy in asymptomatic population.

关 键 词：内窥镜检查 胃肠道 年龄分布 性别分布 健康教育 强制性体检 

分 类 号：R57[医药卫生—消化系统]