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首页> 外文期刊>Surgical Endoscopy >The effectiveness of flexible sigmoidoscopy as the primary method for investigating colorectal symptoms in low-risk patients.
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The effectiveness of flexible sigmoidoscopy as the primary method for investigating colorectal symptoms in low-risk patients.

机译：柔性乙状结肠镜检查是调查低危患者大肠症状的主要方法。

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BACKGROUND: Flexible sigmoidoscopy as the preferred initial investigation for patients with low-risk colorectal symptoms requires formal evaluation. METHODS: From August 1999 to July 2001, 323 patients (166 men) attended the one-stop colorectal clinic. All the patients were examined using a 60-cm flexible sigmoidoscope. Presenting symptoms and findings were reviewed. RESULTS: The mean age of the study patients was 38.6 +/- 11.87 years, with the majority (89.1%) younger than 50 years. Rectal bleeding was the most common problem (86.6%), followed by bowel habit change (13.7%). For 65.6% of the patients, a view to the proximal sigmoid was obtained. The main reason for incomplete assessment was poor bowel preparation (67.5%). The most common finding, in 202 patients (64%), was haemorrhoids. Polyps were found in 9.9% of the patients, whereas four patients (1.2%) with cancer were identified. Overall, 269 patients (83.4%) required no further investigation. CONCLUSION: Flexible sigmoidoscopy is an effective method for assessing low-risk patients.
机译：背景：柔性乙状结肠镜检查是低风险结直肠症状患者的首选初始检查，需要正式评估。方法：自1999年8月至2001年7月，共有323例患者（166例男性）到一站式结直肠诊所就诊。所有患者均使用60厘米可弯曲乙状结肠镜检查。提出症状和发现进行审查。结果：研究患者的平均年龄为38.6 +/- 11.87岁，其中大多数（89.1％）年龄小于50岁。直肠出血是最常见的问题（86.6％），其次是排便习惯改变（13.7％）。对于65.6％的患者，获得了近端乙状结肠的视野。评估不完全的主要原因是肠道准备不佳（67.5％）。在202例患者中，最常见的发现（64％）是痔疮。在9.9％的患者中发现息肉，而四名癌症患者（1.2％）被发现。总体而言，有269例患者（占83.4％）无需进一步调查。结论：柔性乙状结肠镜检查是评估低危患者的有效方法。

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