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目的:用棉棒涂抹肛门方法代替大便隐血试验,不仅可以初筛大肠癌,还可以作为初筛肝胆胰腺癌的辅助手段。方法:223例肝胆胰腺癌病人做肛门隐血试验,其中有121例呈阳性反应,阳性率为54.2％。在40～60岁健康人群中筛查14645人,511人肛门隐血呈阳性反应,阳性率为3.4％。结果:检出消化道癌6例(食管癌1例,贲门癌1例,胃癌2例,肝癌2例)。结论:提示肛门隐血阳性时,应进一步用超声波检查肝胆胰有无肿瘤。
OBJECTIVE: To replace the stool occult blood test with the swab sticking anus method not only for early screening of colorectal cancer, but also as an adjunct to primary screening of hepatobiliary and pancreatic cancer. Methods: 223 cases of hepatobiliary and pancreatic cancer patients to do anal occult blood test, of which 121 cases were positive, the positive rate was 54.2%. In the 40 to 60-year-old healthy population screening 14645 people, 511 people anal occult blood-positive reaction, the positive rate was 3.4%. Results: Six cases of gastrointestinal cancer were detected (one case of esophageal cancer, one case of cardia carcinoma, two cases of gastric cancer and two cases of liver cancer). Conclusion: Tip occult positive occult blood should be further examined with ultrasound examination of liver and gallbladder tumors.