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目的分析肥胖相关指标与结直肠息肉检出率之间的关系。方法回顾性分析2013年4月至2016年12月解放军第305医院干部病房住院的男性无症状体检者中同时完成结肠镜及人体成分分析者166例临床资料,分析体重指数、内脏脂肪面积、体脂肪率等指标对结直肠息肉发病的影响。结果 166例男性体检者,检出结直肠息肉72例(43.4%),腺瘤38例(22.9%)。多因素logistic回归分析显示,内脏型肥胖者发生结直肠息肉的概率较内在脂肪面积正常者更高[OR为3.20,95%CI为1.18~8.69],差异有统计学意义(P<0.05)。结论内脏脂肪面积与结直肠息肉发病的相关提示内脏型肥胖患者更容易患结直肠息肉。
Objective To analyze the relationship between obesity-related indicators and the detection rate of colorectal polyps. Methods A retrospective analysis was performed on 166 patients with simultaneous asymptomatic colonoscopy and body composition analysis of male asymptomatic inpatients admitted to the 305th Hospital of PLA from April 2013 to December 2016. Body mass index, visceral fat area, Fat rate and other indicators of the incidence of colorectal polyps. Results Among the 166 male subjects, 72 (43.4%) were diagnosed with colorectal polyps and 38 (22.9%) with adenomas. Multivariate logistic regression analysis showed that the incidence of colorectal polyps in visceral obesity was higher than that in patients with normal internal adipose tissue [OR 3.20, 95% CI 1.18-8.69], the difference was statistically significant (P <0.05). Conclusion The correlation between the visceral fat area and the incidence of colorectal polyps suggests that patients with visceral obesity are more susceptible to colorectal polyps.