【摘要】 目的 探讨肛门良性疾病患者术前常规肠镜检查的必要性。方法 298例拟行肛门良性疾病手术的患者， 入院后所有患者均完善术前相关检查。根据结肠镜检查和病理检验结果， 将患者分为病变组(91例)和正常组(207例)。对其术前常规肠镜检查结果进行回顾性分析。结果 298例患者总体病变检出率为30.5%(91/298)。病变组40岁以上患者及有便血症状的患者比例显著高于正常组， 差异统有计学意义(P<0.05)。病变组结直肠病变包括结直肠息肉60例， 结直肠癌9例， 溃疡6例， 炎症性肠病5例， 结肠黑变病12例， 结直肠炎18例和结肠憩室8例。结论 术前常规结肠镜检查可有效的发现结直肠病变， 因此对肛门良性疾病患者进行结肠镜检查十分必要。40岁以上及以便血为主要症状患者建议行结肠镜检查。

    【关键词】 肛门良性疾病；结肠镜；结直肠癌；诊断

    DOI：10.14163/j.cnki.11-5547/r.2016.31.004

    【Abstract】 Objective To investigate necessity of preoperative conventional colonoscopy in benign anus disease patients. Methods A total of 298 patients received planed benign anus disease operation all received preoperative examination. They were divided by colonoscopy and pathology outcomes into lesion group (91 cases)and normal group (207 cases). Their preoperative colonoscopy outcomes were retrospectively analyzed. Results Total lesion detection rate was 30.5% (91/298) among 298 cases. The lesion group had higher proportion of over 40 years old and hemafecia than the normal group ......