目的 了解肛门直肠疾病在健康人群中的发病情况,探讨常见肛肠疾病的外科干预策略。方法 选取2020年3月—2022年1月3250例健康体检人群进行肛肠专科检查,并对检查结果进行统计。结果 本次普查肛肠疾病的发病率为67.0%,其中痔的发病率占所有病种的70.2%,其次为肛乳头肥大,直肠息肉等。另外性别,年龄以及生活习惯等和肛肠疾病发病率有关。结论 健康人群中肛肠疾病发病率较高,其中相当部分的疾病需要外科手术干预治疗,同时外科手术需要严格掌握不同病种手术适应证,采取合理的手术方式。
Objective To investigate the incidence of anorectal diseases in healthy people, and to explore a surgical intervention strategy for common anorectal diseases. Methods A total of 3250 healthy subjects who underwent physical examination from March 2020 to January 2022 were selected for anorectal specialist examination, and the examination results were statistically analyzed. Results The incidence of anorectal diseases in this survey was 67.0%, among which the incidence of hemorrhoids accounted for 70.2% of all diseases, followed by anal papillary hyperplasia and proctopolypus. In addition, gender, age, and lifestyle were related to the incidence of anorectal diseases. Conclusion The incidence of anorectal diseases is high in healthy people. A significant number of these diseases require surgical intervention based on the indications of different diseases and reasonable surgical methods.
[1] 喻德洪. 现代肛肠外科学 [M].北京:人民军医出版社,1997:192-262.
[2] 刘侃. 肛肠疾病1130例分析[J].世界最新医学信息文摘,2020,20(83),238-239.
[3] 王登伟,尹方方,代慧等.肛瘘微创手术的研究进展[J].中国肛肠病杂志,2020,40(9),70-73.
[4] 张辰新,张艺翔,何海燕等.无麻醉肠镜下行肥大肛乳头切除术的临床效果观察[J].结直肠肛门外科,2021,27(1):69-71.
[5] 刘健. 肥大性肛乳头结扎术治疗肛乳头肥大的临床研究[J].结直肠肛门外科,2016,22(3):260-263.
[6] 罗娅媛,侯飞飞,寇文静等.不同病理分型结直肠息肉患者肠道菌群特点分析[J].临床军医杂志,2022,50(2):152-159.
[7] 胡邦,任东林.结直肠良性疾病的诊治进展[J].结直肠肛门外科,2019,25(1):1-5.