结肠镜检查大肠息肉的漏诊情况及其相关因素分析

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英文篇名：Missed Diagnosis of Large Intestinal Polyps Through Coloscopy and its Relevant Factors Analysis 作者：张静文 英文作者：ZHANG Jing-wen;Digestive Endoscopic Center,the Second People's Hospital of Nanyang City; 关键词：大肠息肉 ; 结肠镜检查 ; 漏诊 ; 危险因素 英文关键词：Large intestinal polyp;;Coloscopy;;Missed diagnosis;;Risk factor 中文刊名：GCBZ 英文刊名：Chinese Journal of Coloproctology 机构：河南省南阳市第二人民医院消化内镜中心; 出版日期：2019-05-06 出版单位：中国肛肠病杂志 年：2019 期：v.39;No.332 语种：中文; 页：GCBZ201905007 页数：2 CN：05 ISSN：37-1167/R 分类号：22-23

摘要

为探讨结肠镜检查大肠息肉的漏诊情况及其相关因素,选取2017年1月至2018年5月于我院连续接受2次结肠镜检查的169例大肠息肉患者作为研究对象,将第2次结肠镜检查新发现的息肉判定为漏诊的息肉。单因素分析影响大肠息肉漏诊的相关因素,对具有统计学意义的因素进行Logistic回归分析。结果显示,169例患者两次结肠镜检查共检出息肉242枚,其中首次结肠镜检出199枚,第2次检查新发现43枚,漏诊率为17.8%(43/242)。单因素分析显示,息肉漏诊率与息肉大小、部位、形态有关,P <0.05;与息肉组织学类型无关,P>0.05。Logistic回归分析显示,息肉大小、部位、形态是大肠息肉漏诊的独立危险因素,P <0.05。结果表明,结肠镜检查大肠息肉漏诊与息肉大小、部位及形态有关,与息肉组织学类型无关。连续结肠镜检查可降低大肠息肉的漏诊率。
        This study was to investigate the missed diagnosis of large intestinal polyps(LIPs)though coloscopy and analyse its relevant factors,enrolled 169 LIPs patients who had received 2 times of coloscopy in author's hospital(2017-01-2018-05)as subjects,and judged the newly dicovered polyps in the 2 nd time as missed diagnosis of LIPs,then by using " univariate analysis" analysed its relevant factors,again took " Logistic regression analysis" on the factors having statistical significance.As results,total 242 pieces of polyps were inspected in the 169 patients through two times of coloscopy,including 199 pieces discovered through the 1 st coloscopy and 43 pieces discovered through the 2 nd coloscopy thus missed diagnostic rate being 17.8%(43/242) "; univariate analysis" found the missed diagnostic rate was related to polyps' size,site and form(P <0.05),but not to histological types(P >0.05) ", Logistic regression analysis" found polyps' size,site and form were independent risk factor resulting in the messed diagnosis of LIP(P <0.05).Results show that coloscopy resulting in missed diagnosis of LIP is related to polyp's size,site and form,but not to their histological types;continuously implementing coloscopy can reduce missed diagnostic rate of LIPs.

引文

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