379例结肠憩室病的临床特点及内镜表现

Clinical characteristics and endoscopic performance of 379 cases of colonic diverticulum

摘要:

目的 通过回顾电子结肠镜检出结肠憩室患者的资料，分析结肠憩室发病特点及其与伴发疾病的相关性。方法 回顾性分析2014年6月－2019年5月该院13 638例行电子结肠镜检查的内镜资料，采用SPSS 19.0统计软件分析结肠憩室患者检出情况及内镜下组织表现，以及其与伴发疾病的相关性。结果 共发现结肠憩室379例，检出率为2.78%，呈逐年升高趋势，由1.79%增长至3.35%，第5年较第1年检出率明显提高（P < 0.05）。结肠憩室发病与结肠息肉、结肠癌、结肠脂肪瘤、结肠黏膜黑变病和肠道手术史呈正相关（P < 0.05），与缺血性结肠炎无明显相关性（P > 0.05）。结论 5年间电子结肠镜下结肠憩室检出率明显升高，结肠憩室检出率与结肠息肉、结肠癌、结肠脂肪瘤、结肠黑变病及肠道手术史均有相关性。

Abstract:

Objective To review the endoscopic examination data of patients with diverticulum of colon, and analyze the characteristics and correlation with the concurrent diseases.Methods The endoscopic data of patients from June 2014 to May 2019 were collected retrospectively. The detection rate of patients with diverticulum of colon and the correlation between colonic diverticulum and the associated diseases was analyzed by SPSS 19.0.Results The detection rate of colonic diverticulum was 2.78%. The detection rate of colonic diverticulum increased significantly from 1.79% at the first year to 3.35% at the fifth year. The detection rate of colonic diverticulum was positively correlated with colonic polyps, colon cancer, colonic lipoma, colonic mucosal melanosis and history of intestinal surgery (P < 0.05), but not with ischemic colitis (P > 0.05).Conclusion The detection rate of colonic diverticulum after 5 years was significantly increased. The detection rate of colonic diverticulum was significantly correlated with colonic polyps, colon cancer, colonic lipoma, colonic mucosal melanosis and abdominal surgery.