结肠镜指示和发现中的性别差异:来自大型多中心数据库的结果
Naim Abu-Freha1,2, Revital Guterman1, Ruhama Elhayany1
1Assuta Hospital, Beer-Sheva, Israel.
Journal of women's health (2002)
|October 24, 2024
概括
男性和女性在结肠镜检查的原因和结果中表现出不同的模式. 男性的结肠直肠癌和多的发病率更高,而女性则出现了更多导致手术的症状.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 流行病学 流行病学
背景情况:
- 基于性别的差异在各种疾病中普遍存在,影响了呈现和结果.
- 了解胃肠道 (GI) 诊断中的这些差异对于量身定制的患者护理至关重要.
研究的目的:
- 调查和比较结肠镜指示和发现的基于性别的差异.
- 为了确定胃肠道健康的潜在的性别特异性趋势.
主要方法:
- 一个大规模的,多中心的,回顾性的横截面研究.
- 包括2016年至2021年期间进行的超过287,000次结肠镜检查.
- 对男性和女性患者的指示和发现进行比较分析.
主要成果:
- 女性有更好的肠道准备,但腹部疼痛,便秘和贫血等症状的发生率更高.
- 男性的便隐性血液检测 (FOBT),直肠出血和查指示的阳性率更高.
- 男性的结直肠癌和息肉检测率显著更高,而女性的息肉检测率更低.
- 在男性中,性多症的发病率更高,在贫血患者中观察到显著差异.
结论:
- 显著的基于性别的差异存在于结肠镜指示和发现.
- 这些差异需要对促进因素进行进一步的研究.
- 建议制定特定于性别的胃肠道疾病诊断和管理策略.
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