大肠癌患者的结肠镜随访结果研究

Colonoscopy follow-up results of colorectal cancer patients

摘要:

目的 探讨大肠癌患者的结肠镜随访结果。方法 回顾性分析2020年1月－2023年6月该院收治的84例大肠癌患者的临床资料，使用奥林巴斯CV290电子结肠镜行结肠镜检查，记录患者的检查结果，并对患者的一般状况、病史、生活方式和饮食习惯等进行回访。结果 结肠镜初次检查结果正常40例（47.62%），结果异常44例（52.38%），年龄、性别、腺瘤发生位置和病变发生部位数量是初次结肠镜检查结果异常患者结肠镜复查发现腺瘤的危险因素。结论 随访次数越多，随访结果中检测到复发性腺瘤的可能性越大，研究和确定合适的随访时间是根本工作，对复发性腺瘤进行风险分层，并进行实时结肠镜随访，对于减少腺瘤复发和预防大肠癌非常重要。

Abstract:

Objective To explore the follow-up results and research significance of colonoscopy in patients with colorectal cancer.Method A retrospective analysis was conducted on 84 colorectal cancer patients from January 2020 to June 2023. Colonoscopy was performed using the Olympus CV290 electronic colonoscope, and the examination results were recorded. The general condition, medical history, personal lifestyle, and dietary habits of the patients were followed up.Result 40 patients (47.62%) had normal results during the initial colonoscopy, while 44 patients (52.38%) had abnormal results. Age, gender, number of lesion position and location of adenoma were all risk factors for detecting adenomas in patients with abnormal initial colonoscopy results during colonoscopy follow-up.Conclusion The more follow-up times, the greater the likelihood of detecting recurrent adenomas in the follow-up results. Studying and determining the appropriate follow-up time is the fundamental task. It is important to stratify the risk of recurrent adenoma patients and conduct real-time colonoscopy follow-up to reduce adenoma recurrence and prevent colorectal cancer.