柔性乙状结肠镜检查作为低风险患者结直肠症状主要检查方法的有效性。
The effectiveness of flexible sigmoidoscopy as the primary method for investigating colorectal symptoms in low-risk patients.
作者信息
Badger S A, Gilliland R, Neilly P J D
机构信息
Department of Surgery, Altnagelvin Area Hospital, Londonderry, Northern Ireland.
出版信息
Surg Endosc. 2005 Oct;19(10):1349-52. doi: 10.1007/s00464-004-2215-2. Epub 2005 May 26.
BACKGROUND
Flexible sigmoidoscopy as the preferred initial investigation for patients with low-risk colorectal symptoms requires formal evaluation.
METHODS
From August 1999 to July 2001, 323 patients (166 men) attended the one-stop colorectal clinic. All the patients were examined using a 60-cm flexible sigmoidoscope. Presenting symptoms and findings were reviewed.
RESULTS
The mean age of the study patients was 38.6 +/- 11.87 years, with the majority (89.1%) younger than 50 years. Rectal bleeding was the most common problem (86.6%), followed by bowel habit change (13.7%). For 65.6% of the patients, a view to the proximal sigmoid was obtained. The main reason for incomplete assessment was poor bowel preparation (67.5%). The most common finding, in 202 patients (64%), was haemorrhoids. Polyps were found in 9.9% of the patients, whereas four patients (1.2%) with cancer were identified. Overall, 269 patients (83.4%) required no further investigation.
CONCLUSION
Flexible sigmoidoscopy is an effective method for assessing low-risk patients.
背景
对于有低风险结直肠症状的患者，将乙状结肠镜检查作为首选的初始检查方法需要进行正式评估。
方法
1999年8月至2001年7月，323例患者（166例男性）前往一站式结直肠诊所就诊。所有患者均使用60厘米的乙状结肠镜进行检查。对呈现的症状和检查结果进行了回顾。
结果
研究患者的平均年龄为38.6±11.87岁，大多数（89.1%）年龄小于50岁。直肠出血是最常见的问题（86.6%），其次是排便习惯改变（13.7%）。65.6%的患者可以观察到乙状结肠近端。评估不完整的主要原因是肠道准备不佳（67.5%）。最常见的发现是202例患者（64%）有痔疮。9.9%的患者发现有息肉，而4例（1.2%）患者被确诊为癌症。总体而言，269例患者（83.4%）无需进一步检查。
结论
乙状结肠镜检查是评估低风险患者的有效方法。
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