Kratzsch K H
Z Gesamte Inn Med. 1981 Jan 1;36(1):suppl 200-3.
On the basis of own experiences in 600 examinations and 113 polypectomies a survey is given on indications, contraindications, evidence, therapeutic possibilities and complications of the coloscopy. 38.4% of the patients were referred to coloscopy on account of suspicion of presence of a tumor of the colon, 24.5% on account of a supposed inflammation of the large intestine, 19.2% on account of unclear rectal haemorrhage and 12.1% on account of radiologically diagnosed polyps. In 4.1% of the patients the cases in question were after examinations after coloscopic polypectomy and in 1.8% the cases in question were control examinations after operation of the intestine on account of carcinoma of the colon. The suspicion of tumour was coloscopically confirmed only in 18.1% of the patients who were examined on account of this indication, a supposed inflammation of the large intestine in 29.7%. A source of haemorrhage was proved in 64.8% of the patients who were examined under this question. The after examination of the polypectomized patients resulted in a new proof of polyps in 50%.
基于600例检查和113例息肉切除术的自身经验，对结肠镜检查的适应证、禁忌证、依据、治疗可能性及并发症进行了综述。38.4%的患者因怀疑存在结肠肿瘤而接受结肠镜检查，24.5%因疑似大肠炎症，19.2%因不明原因的直肠出血，12.1%因放射学诊断的息肉。4.1%的患者是在结肠镜息肉切除术后进行检查，1.8%的患者是因结肠癌行肠道手术后进行对照检查。因怀疑肿瘤而接受检查的患者中，仅18.1%经结肠镜检查确诊有肿瘤，疑似大肠炎症的患者中确诊率为29.7%。在此问题下接受检查的患者中，64.8%证实有出血源。息肉切除术后复查发现50%的患者有新的息肉。
