Van Wymersch T, Sturm-Saba C, Vanheuverzwyn R, Maskens A P, Liénard J C, Dive C
Acta Gastroenterol Belg. 1988 Jul-Oct;51(4-5):391-6.
From 1976 to 1985, 1063 patients (614 men, 449 women, mean age: 63 years) underwent the excision of 1887 adenomatous or villous colonic or rectal polyps. Regular controls by barium enema or total colonoscopy have been proposed to these patients. A first control, performed in 715 patients (67%) after a mean of 27 months, revealed the presence of polyps in 162 of them (23%). A second control performed in 331 of the 535 controllable patients (61%), was positive (presence of polyps) in 82 of them (24%). During the follow-up period, 16 cancerous lesions were observed. Comparing the initial status of the patients with the results of the different controls, 3 risk factors for developing a new colonic or rectal polyp emerged: 1) male sex, 2) the presence of multiple lesions at the initial examination, 3) a recurrence at a previous control.
1976年至1985年期间，1063例患者（614例男性，449例女性，平均年龄：63岁）接受了1887个腺瘤性或绒毛状结肠或直肠息肉切除术。已建议对这些患者进行钡剂灌肠或全结肠镜定期检查。715例患者（67%）在平均27个月后进行了首次检查，其中162例（23%）发现有息肉。在535例可复查患者中的331例（61%）进行了第二次检查，其中82例（24%）呈阳性（发现息肉）。在随访期间，观察到16例癌变。将患者的初始状态与不同检查结果进行比较，发现了3个发生新的结肠或直肠息肉的风险因素：1）男性；2）初次检查时存在多个病变；3）先前检查时复发。
