136例结肠憩室病的内镜特点及临床分析

摘要

目的 探讨结肠憩室的内镜及临床特点.方法 回顾性分析近9年我院经结肠镜诊断的136例结肠憩室患者的临床资料.结果 本组中≥60岁人群中结肠憩室的检出率为62.50％,25～59岁人群中结肠憩室的检出率为36.76％;＜25岁人群中结肠憩室的检出率为0.74％.憩室部位以右半结肠更常见(80.15％)；多发憩室(88/136)较单发憩室(48/136)多见；伴发病中以结肠息肉最多(40.44％).便秘、腹痛、腹胀、便血为常见临床表现.结论 结肠憩室好发于老年人,右半结肠为好发部位,多发较单发常见,容易伴发结肠息肉.结肠镜是诊断本病的最佳方法.%Objective To explore the endoscopic and clinical characteristics for colonic diverticula patients. Methods One hundred and thirty-six colonic diverticula patients diagnosed by endoscope were studied retrospectively. Results Detectable rate of colonic diverticula was the highest in the elderly patients, the rates were 62. 50% , 36.76% and 0.74% in the old-aged, middle-aged and the youth patients respectively. The right colon was the most disease position (80. 15% ). There were 48 cases and 88 cases for single and multi diverticula. The colonic polyp was most in accompanying symptom. Conclusion The disease summit of colonic diverticulum is in older-aged patients, and the disease is more likely to locate in right colon and the most are multi-diverticula, the colonic polyp is most in accompanying symptom.