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目的探讨结肠镜检查对健康人群体检时应用的价值。方法选取郑州大学第一附属医院体检中心于2014年1月至2014年12月接受结肠镜检查的健康体检者795例,对检查结果进行回顾性分析。结果 795例受检者中男309例,女486例,总体病变检出率为35.3%。检出结直肠息肉165例(20.7%),结直肠炎症74例(9.3%),结肠憩室19例(2.4%),结肠粘膜黑变病18例(2.2%),结直肠癌3例(0.4%),回盲部溃疡2例(0.3%)。结直肠息肉在男性中的检出率显著高于女性(P<0.001)。随年龄增大结直肠息肉检出率明显增高,>50岁年龄段人群检出率显著高于≤50岁年龄段人群[27.1%(121/446)对12.6%(44/349),P<0.01]。结论在健康体检人群中结直肠息肉有较高的检出率,且随年龄增大检出率明显增高。对50岁以上的健康体检人群进行结肠镜检查具有重要意义。
Objective To explore the value of colonoscopy in physical examination of healthy people. Methods A total of 795 healthy subjects undergoing colonoscopy from January 2014 to December 2014 at the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed. Results There were 309 males and 486 females in 795 subjects, the overall detection rate was 35.3%. Colorectal polyps were detected in 165 cases (20.7%), colorectal inflammation in 74 cases (9.3%), colonic diverticulum in 19 cases (2.4%), colon mucosal melanosis in 18 cases (2.2%), colorectal cancer in 3 cases %), Ileocecal ulcer in 2 cases (0.3%). The detection rate of colorectal polyps in males was significantly higher than that in females (P <0.001). With the increase of age, the detection rate of colorectal polyps was significantly increased, and the detection rate of people over 50 years of age was significantly higher than that of people under 50 years old (27.1% (121/446) vs 12.6% (44/349), P < 0.01]. Conclusion The detection rate of colorectal polyps in the health examination population is high, and the detection rate increases with age. It is of great significance to carry out colonoscopy on healthy people over 50 years of age.