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目的分析广州市越秀区大肠癌结肠镜精筛的前期结果,为下一步工作的开展提供借鉴。方法强烈建议通过初筛确定的大肠癌高危人群行结肠镜检查。详细记录结肠镜检查结果并进行统计分析。结果2015年1—12月共有1 031例高危人群接受结肠镜检查,其中男374例(36.3%),女657例(63.7%)。结肠镜检查发现异常380例(36.9%),其中息肉、炎症或肿瘤361例(35.0%),大肠癌13例(检出率1.3%),息肉327例(检出率31.7%),腺瘤239例(检出率23.2%),进展期腺瘤140例(检出率13.6%)。大肠癌在不同性别及年龄中的检出率差异无统计学意义(P>0.05)。男性的腺瘤及进展期腺瘤检出率均显著高于女性。腺瘤及进展期腺瘤的检出率随年龄增长也显著提高。结论结肠镜检查是检出结直肠癌及癌前病变的有效筛查手段;同时应加强对男性高危人群的宣教,提高其参加筛查的顺应性。
Objective To analyze the preliminary results of colorectal colon screen in Yuexiu District of Guangzhou City and provide reference for the further work. Methods It is strongly recommended that colon cancer be examined by colonoscopy at high risk for colorectal cancer identified by primary screening. Detailed records of colonoscopy results and statistical analysis. Results From January to December 2015, a total of 1,031 high risk population underwent colonoscopy, of which 374 (36.3%) were male and 657 (63.7%) were female. Colonoscopy revealed abnormalities in 380 cases (36.9%), including polyps, inflammation or tumor in 361 cases (35.0%), colorectal cancer in 13 cases (detection rate of 1.3%), polyp in 327 cases (detection rate of 31.7% 239 cases (detection rate 23.2%), advanced adenoma in 140 cases (detection rate of 13.6%). The detection rate of colorectal cancer in different genders and ages had no statistical significance (P> 0.05). The detection rates of adenomas and advanced adenomas were significantly higher in males than in females. The detection rate of adenoma and advanced adenoma also increased significantly with age. Conclusion Colonoscopy is an effective screening method for detecting colorectal cancer and precancerous lesions. At the same time, it is necessary to strengthen the missionary education of men at high risk and improve their compliance with screening.