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结直肠息肉术后复发风险影响因素分析

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目的:分析结直肠息肉术后复发风险的影响因素,为临床医师指导结肠息肉患者的随访工作提供一定的参考.方法:选取2017年6月—2018年6月深圳市前海蛇口自贸区医院内镜中心接受体检的163例初次进行肠镜切除术的患者作为研究对象,采用前瞻性巢式病例对照研究,随访至2022年6月,根据术后是否复发将其分为复发组112例和未复发组51例.收集患者的临床资料,分析结直肠肠息肉术后复发风险的影响因素.结果:年龄较大(OR=1.12,95%CI:1.04~1.22)、息肉数量较多(OR=1.47,95%CI:1.02~2.34)是结直肠息肉术后复发风险的独立影响因素,可能与结肠息肉的复发密切相关.结论:年龄较大和息肉数量较多的患者结直肠息肉术后复发风险显著增高.息肉数量较多的患者肠镜检查时需要注意息肉遗漏问题,并应加强对年龄较大和息肉数量较多的患者的健康教育,加强术后随访,定期复查,以防止息肉复发.
Analysis of Influencing Factors of Recurrence Risk of Colorectal Polyps After Operation
Objective:To analyze the influencing factors of postoperative recurrence of colorectal polyps,so as to provide some reference for clinicians to guide the follow-up work of patients with colon polyp.Methods:A nested medical record control study was used to select the guests who underwent physical examination in the Endoscopy Center of Shenzhen Qianhai Sheckou Free Trade Zone Hospital from June 2017 to June 2022.According to whether they had recurrence after surgery,they were divided into the recurrence group(112 cases)and the non-recurrence group(51 cases).The clinical data of the patients were collected and the factors affecting the recurrence of colorectal polyps after operation were analyzed.Results:Age(OR=1.12,95%CI:1.04~1.22)and the number of polyps(OR=1.47,95%C/:1.02~2.34)were independent influencing factors for the risk of postoperative recurrence of colorectal polyps,which may be closely related to the recurrence of colonic polyps.Conclusion:The risk of recurrence of intestinal polyps was significantly increased in patients with older age and more polyps.It is necessary to pay attention to the problem of missing polyps during colonoscopy for patients with more polyps,and strengthen health education for patients with older age and more polyps,and strengthen postoperative follow-up and regular review so as to prevent polyps recurrence.

Colorectal polypsRecurrenceInfluencing factors

唐翔宇、姚菲菲、刘芬

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深圳市前海蛇口自贸区医院消化内科,广东 深圳 518000

深圳市前海蛇口自贸区评审办,广东 深圳 518000

结直肠息肉 复发 影响因素

深圳市南山区技术研发和创意设计项目分项资金教育(卫生)科技项目

NS2021043

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(20)