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[摆动式软疣在结直肠肿瘤性病变诊断中的价值]

[Value of molluscum pendulum in the diagnosis of colorectal neoplastic lesions].

作者信息

Anciaux M L, Ink O, Pelletier G, Eugène C, Quevauvilliers J, Etienne J P

出版信息

Gastroenterol Clin Biol. 1986 May;10(5):396-9.

PMID:3732744
Abstract

A routine search for skin tags was made before performing colonoscopy in 220 patients, whose mean age was 61.8 years. Sixty-one p. 100 of patients were male. The reasons for colonoscopy were digestive symptoms (95 cases), past history of malignant disease of the colon (MDC) or rectum (67 cases) or other symptoms (58 cases). Eighty-five patients had one or more skin tags, while 78 patients had one or more MDC. MDC in patients with skin tags was more frequent than in patients without skin tags (43.5 p. 100 vs. 30.4 p. 100 respectively, p less than 0.05). However this relationship was age-dependent. No significant relationship was found between the discovery of skin tags and the number of MDC, the carcinomatous nature of the lesion or not, or its degree of dysplasia. In 153 patients without personal history of MDC there was no significant relationship between the existence of skin tags and the discovery of colorectal lesions at colonoscopy. In this series of 220 patients, the sensitivity and specificity of skin tags associated with MDC on colonoscopy was poor (0.47 and 0.66 respectively).

摘要

在对220例平均年龄为61.8岁的患者进行结肠镜检查之前,对皮肤赘生物进行了常规检查。61%的患者为男性。进行结肠镜检查的原因包括消化症状(95例)、结肠或直肠恶性疾病(MDC)既往史(67例)或其他症状(58例)。85例患者有一个或多个皮肤赘生物,而78例患者有一个或多个MDC。有皮肤赘生物的患者中MDC比没有皮肤赘生物的患者更常见(分别为43.5%和30.4%,P<0.05)。然而,这种关系与年龄有关。未发现皮肤赘生物的发现与MDC的数量、病变的癌性性质与否或发育异常程度之间存在显著关系。在153例无MDC个人史的患者中,皮肤赘生物的存在与结肠镜检查时结直肠病变的发现之间无显著关系。在这220例患者系列中,结肠镜检查时与MDC相关的皮肤赘生物的敏感性和特异性较差(分别为0.47和0.66)。

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