在接受结肠镜检查的年轻患者中的结肠直肠息肉
Yuvaraj Bhusal1, Bhupendra Kumar Basnet1, Ramila Shrestha1
1National Academy for Medical Sciences, Kathmandu, Nepal.
Journal of Nepal Health Research Council
|March 18, 2025
概括
在50岁以下的患者中,近四分之一的人患有结肠直肠多. 通过结肠镜早期检测是关键的,因为一些息肉是腺瘤或腺癌,特别是那些大于5mm的.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 预防医学 预防医学
背景情况:
- 50岁以下的个人中结肠直肠癌 (CRC) 发病率正在上升.
- 结肠直肠息肉可以在5-20年内发展为CRC.
- 查和片的去除可以减少CRC的进展.
研究的目的:
- 确定50岁以下患者结肠直肠多的流行率,分布和组织学特征.
- 在这个年龄组中确定与多发育相关的风险因素.
主要方法:
- 一个单中心的横截面研究包括254名连续接受结肠镜检查的50岁以下的患者.
- 排除标准:先前的炎症性肠病,多或CRC诊断.
- 收集的数据:人口统计,吸烟/饮酒史,多菌的流行率,位置,大小和组织学.
主要成果:
- 在254名患者中,63名患者 (24.8%) 检测到了结肠直肠多.
- 大多数的息肉都位于直垂体和半垂体区域 (74.6%).
- 沉重的酒精消费和活跃的吸烟与更高的息肉几率有关. 在12名和10名患者中分别发现了腺瘤多和腺癌. 的外观和聚大小≥5mm显著增加了恶性瘤的可能性.
结论:
- 在50岁以下的患者中,结直肠多的患病率为24.8%.
- 大多数的息肉都是良性的,小小的 (<5mm),位于直肠-西格结肠.
- 显著的比例 (三分之一) 的息肉是腺瘤或腺癌,突出显示了对年轻人群体进行查的需要.
关键词:
结肠镜检查;结肠直肠多;查.相关概念视频
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