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目的:了解健康体检人群消化道疾病的患病情况,探讨无痛胃肠镜联合检查的必要性及安全性。方法:回顾性分析深圳市罗湖区人民医院2014年8月-2015年1月402例健康体检者的胃肠镜检查结果。结果:所有检查均顺利完成,仅5例(1.2%)出现轻度不良反应;胃镜下诊断慢性非萎缩性胃炎363例(90.3%),慢性萎缩性胃炎27例(6.7%),十二指肠印戒细胞癌1例(0.2%);结肠镜的阳性检出率为57.2%,其中结直肠息肉140例34.8%),腺瘤性息肉76例(18.9%),包括3例大肠侧向发育肿瘤(LST);大肠癌2例;男性息肉及腺瘤检出率均高于女性(P<0.05),各年龄段息肉检出率比较,差异无统计学意义(P>0.05),息肉部位以左半结肠高于右半结肠(P<0.05)。结论:健康体检者的病变检出率高,无痛胃肠镜联合检查是安全有效的,对诊断早期的癌前病变具有重大意义。
Objective: To understand the prevalence of gastrointestinal diseases in healthy physical examination population and to explore the necessity and safety of joint examination of painless gastrointestinal endoscopy. Methods: The results of gastrointestinal endoscopy in 402 healthy subjects from August 2014 to January 2015 in People’s Hospital of Luohu District, Shenzhen were retrospectively analyzed. Results: All the tests were successfully completed. Only 5 patients (1.2%) had mild adverse reactions. 363 (90.3%) cases of chronic non-atrophic gastritis and 27 (6.7%) cases of chronic atrophic gastritis were diagnosed under endoscopy, 1 case of signet-ring cell carcinoma (0.2%); colonoscopy positive rate of 57.2%, of which 140 cases of colorectal polyps 34.8%), 76 cases of adenomatous polyps (18.9%), including 3 cases of large intestine (P <0.05). There was no significant difference in the detection rate of polyps among all age groups (P> 0.05), polyps The site of the left colon was higher than the right colon (P <0.05). Conclusion: The detection rate of lesions in healthy subjects is high, and painless gastrointestinal mirror combined examination is safe and effective, which is of great significance in the diagnosis of early precancerous lesions.