结肠息肉检出率在不同时期及人群的临床比较

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Abstract Objective To explore the detection rate and importance of colon polyps in high-risk population and general population undergoing colonoscopy at different periods. Methods The electronic colonoscopy reports of patients undergoing colonoscopy in the Endoscopy Center, Cancer Hospital Affiliated to Shanxi Medical University from January 2000 to December 2004 and from January 2014 to December 2019 were retrospectively analyzed, and the differences in the detection rate of colon polyps at different stages in terms of age and gender and the changes in the detection rate were analyzed. Results From January 2000 to December 2004, the detection rate of colon polyps in 13 238 high-risk population was 48.32%, and the detection rate of colon polyps in 8412 general population was 33.67%. From January 2014 to December 2019, the detection rate of colon polyps in 17 345 high-risk population was 62.30%, and the detection rate of colon polyps in 24 335 general population was 57.84%. There was a significant difference in the detection rate of colon polyps between the general population and the high-risk population in different periods (P ＜ 0.01). The detection rate of colon polyps in male subjects was 60.82%, and that in female subjects was 44.87%. The difference in the detection rate of colon polyps among different genders was highly statistically significant (P ＜ 0.01). In the general population and high-risk population, the detection rate of colon polyps in males was significantly higher than that in females at different periods, and the difference was highly statistically significant (P ＜ 0.01). From January 2000 to December 2004, and from January 2014 to December 2019, the detection rate of colon polyps in different populations and different age groups had high statistical significance (P < 0.01). From January 2014 to December 2019, there was a small difference in the detection rate between high-risk population and general population in the same age group. From January 2014 to December 2019, the detection rate of colon polyps in high-risk population and general population aged 40 to 45 years old was 52.94% and 48.93%, respectively. From January 2000 to December 2004, the detection rate of colon polyps in high risk population with > aged 55 to 60 was 49.44%. Conclusion The detection rate of colon polyps is now significantly higher. From January 2000 to December 2004, the detection rate of colon polyps in high-risk population was significantly higher than that in general population and from January 2014 to December 2019, the detection rate of colon polyps in high-risk population was close to that of the general population. Should cause extensive attention of the society, so it is necessary to take colonoscopy as one of the routine physical examination items and people over the age of 40 should have colonoscopy regularly.

Key words： Colon polyps Colonoscopy Routine physical examination Colon cancer High-risk population

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	MENG Tong1
	2 CHEN Xing2

Cite this article:

MENG Tong1,2 CHEN Xing2. Clinical comparison of colon polyps detection rate in different periods and population[J]. 中国医药导报, 2021, 18(4): 81-84,89.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I4/81

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