结直肠息肉内镜下切除术后再发的多因素分析  

Analysis of Risk Factors for Recurrence After Colorectal Polypectomy

作　　者：刘慧亚[1] 张超 李巍[1] 李诤 吴卫东[1] 袁海锋[1] LIU Huiya;ZHANG Chao;LI Wei;LI Zheng;WU Weidong;YUAN Haifeng(Department of Gastroenterology,Heze Municipal Hospital,Heze Shandong 274000,China)

机构地区：[1]山东省菏泽市立医院消化内科,山东菏泽274000

出　　处：《中国卫生标准管理》2021年第8期79-82,共4页China Health Standard Management

摘　　要：目的回顾分析结直肠息肉术后再发的相关因素,为早期预防提供策略。方法对128例结直肠息肉术后患者,进行随访,并将随访资料及影响腺瘤再发相关因素进行Logistic回归分析,寻找息肉再发的高危因素。结果本组128例,5年内再发68例,再发率53.13%。其中数目≥3个者46例,<3个者22例;息肉直径≥0.5 cm 45例,<0.5 cm 23例;单因素性别、年龄、生活习惯、息肉大小、数目等均为再发的重要因素。结论经多因素分析,男性、高龄、酗酒、吸烟、食用过多红肉、及息肉数目、大小等是结直肠息肉术后再发的高危因素;而素食、应用降糖药、非甾体类固醇激素等可降低其再发率。Objective To retrospectively analyze the related factors of postoperative recurrence of colorectal polyps and provide strategies for early prevention.Methods 128 patients with postoperative colorectal polyps were followed up,and Logistic regression analysis was performed on the follow-up data and related factors affecting the recurrence of adenoma,in order to find the high-risk factors for the recurrence of polyps.Results There were 128 cases,68 cases recurred within 5 years,the recurrence rate was 53.13%.There were 46 patients with number≥3 and 22 patients with number<3.Polyp diameter≥0.5 cm 45 cases,<0.5 cm 23 cases;Gender,age,lifestyle,size and number of polyps were all important factors for recurrence.Conclusion After multi-factor analysis,male,old age,excessive alcohol consumption,smoking,excessive red meat consumption,and the number and size of polyps are the high-risk factors for the recurrence of colorectal polyps after operation.However,vegetarian diet,hypoglycemic drugs and non-steroidal steroid hormones can reduce the recurrence rate.

关 键 词：结肠息肉 直肠息肉 内镜手术 术后再发 单因素分析 高危因素 

分 类 号：R574[医药卫生—消化系统]