结直肠息肉切除术后复发的临床特点及相关因素  

Clinical characteristics and related factors of recurrence after colorectal polypectomy

作　　者：蒯亚仙 李杨[1] 徐建华[1] 王旭[1] 孙斌[1] Kuai Yaxian;Li Yang;Xu Jianhua;Wang Xu;Sun Bin(Dept of Gastroenterology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022)

机构地区：[1]安徽医科大学第一附属医院消化内科,合肥230022

出　　处：《安徽医科大学学报》2022年第11期1839-1843,共5页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:61976007)。

摘　　要：目的探究结直肠息肉切除后复发的特点,为临床预防结直肠癌工作提供依据。方法回顾性分析370例行2次结直肠息肉切除术患者的临床资料。根据第2次结肠镜检查中息肉数量,将患者分为多发性复发组(≥3枚)和非多发性复发组(<3枚),分析息肉复发的特点及风险因素。结果在单因素统计分析中,息肉大小(P=0.033)、息肉部位(P=0.002)、息肉色泽(P=0.032)是息肉多发性复发的风险因素。在多因素回归分析中,首检息肉个数(P=0.001)、息肉的部位(P=0.001)是多发性复发的独立风险因素。结论首次结肠镜检查中息肉数量越多越容易发生息肉的多发性复发,远端结肠更容易出现多发性复发。Objective The study provided evidence for clinical prevention of colorectal cancer by analyzing the characteristics of recurrence after colorectal polypectom.Methods According to the number of polyps during the second colonoscopy,patients were divided into multiple recurrence group(≥3)and non-multiple recurrence group(<3).The characteristics and risk factors of polyp recurrence were analyzed.Results The clinical data of 370 patients who underwent two colorectal polypectomy were retrospectively analyzed.In univariate statistical analysis,polyp size(P=0.033),polyp site(P=0.002),and polyp color(P=0.032)were the risk factors for multiple polyp recurrence.In multivariate regression analysis,the number of polyps detected at the first colonoscopy(P=0.001)and the polyp site(P=0.001)were independent risk factors for multiple recurrence.Conclusion Multiple polyps on the first colonoscopy and polyps in the distal colon indicate an increased risk of multiple recurrence.

关 键 词：息肉切除术 复发 结肠镜检查 

分 类 号：R574.6[医药卫生—消化系统]