Joukar Farahnaz, Majd Sohre Kaiidi, Fani Arezoo, Nazari Nima, Mansour-Ghanaei Fariborz
Gastrointestinal & Liver Diseases Research Center (GLDRC), Guilan University (Medical Sciences) Rasht, Iran.
Int J Clin Exp Med. 2012;5(4):321-5. Epub 2012 Aug 22.
Colonoscopy is a procedure that used largely, in assessment, screening & management of lower gastrointestinal disease. Some of these diseases that assessed are colorectal cancer, polyps & inflammatory bowel disease. The goal of this study is determining of frequency of lower GI disease among patient who have elective colonoscopy. This cross-sectional study was conducted retrospective. Samples collected from the census method of colonoscopy patients in Razi hospital, from March 21th in 2006 to March 20th in 2009. Patients' data including age, sex, location and type of lesion found by colonoscopy and pathology diagnosis were collected and at the end necessary information collected into the SPSS software (version 16) for analyzing with the help of statistical tests Chi-square. Significant findings: Of 1398 patients, 683 patients (48/8 %) were male and 715 (51/2 %) were female 494 patients (35/3%) had normal results. Hemorrhoids (22/6 %) and polyps (14/8 %) were the most abundant lesions discovered by colonoscopy. The most common site of lesions among patients with abnormal colonoscopy findings, were anal canal and anus (43/8 %) and rectosigmoid (26%). The findings in both males and females, revealed no statistical differences.
Colonoscopic detection of hemorrhoids is a common finding in patient undergone colonoscopy. The most frequent site for lesions which found in anal canal and anus. In addition to, normal findings had a high rate and it indicates that unnecessary colonoscopy have been required by physicians.
结肠镜检查是一种主要用于评估、筛查和管理下消化道疾病的程序。这些被评估的疾病包括结直肠癌、息肉和炎症性肠病。本研究的目的是确定接受选择性结肠镜检查的患者中下消化道疾病的发生率。这项横断面研究是回顾性进行的。样本采用普查方法,收集了2006年3月21日至2009年3月20日拉齐医院结肠镜检查患者的数据。收集了患者的年龄、性别、结肠镜检查发现的病变部位和类型以及病理诊断等数据,最后将必要信息录入SPSS软件(版本16),借助卡方统计检验进行分析。重要发现:在1398例患者中,683例(48.8%)为男性,715例(51.2%)为女性;494例(35.3%)结果正常。结肠镜检查发现的最常见病变是痔疮(22.6%)和息肉(14.8%)。结肠镜检查结果异常的患者中,最常见的病变部位是肛管和肛门(43.8%)以及直肠乙状结肠(26%)。男性和女性的结果均无统计学差异。
结肠镜检查发现痔疮在接受结肠镜检查的患者中是常见发现。病变最常见的部位是肛管和肛门。此外,正常结果的比例较高,这表明医生可能进行了不必要的结肠镜检查。