【摘要】 目的 探讨对有症状就诊人群进行大肠镜检查的临床意义。方法 1995年～1996年对1246例因有下消化道症状就诊于消化科的患者进行大肠镜检查。结果 肠粘膜炎性改变437例，溃疡性结肠炎55例，息肉187例(腺瘤121例，增生性息肉66例)，肠癌111例，未发现病变411例。在187例中发现并摘除息肉291枚，其中13例13枚息肉有局部恶变者电凝摘除后随访1年无异常发现。111例肠癌中DuckA60例。腺癌、息肉的检出率与年龄呈正相关(P<0.05)，但≤29岁组腺癌、息肉也分别检出1.8%和16.4%。结论 有症状就诊人群大肠镜检查是一可行、安全、费用不高和省时的方法，能明显减少大肠癌的发病率和死亡率。

    

Clinical significance ofcolonoscopy for outpatient

WU Zhengxiang,WANG Qiaomin,ZHENG Banghai,et al.

    Department of Gastroenterology,Anhui Provincial Hospital,Hefei 230001

【Abstract】Objective Theclinical implication of colonoscopy preformed on a large series of outpatients withcomplaints is reported.Methods A total of 1 246 outpatients complainingof lower digestive tract symptoms underwent fibrocolonoscopic examination.Results Itwas revealed that no abnormality was found in 411 individuals, colitis diagnosed in 437,ulcerative colitis in 55, carcinoma in 111 and polyps in 187 (adenoma-like,n＝121 ......