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目的:防范和减少大肠癌的延误方法。方法:根据大肠癌的生物学特性,首次提出了界定医源性和自身性延误的时限标准,对1989年~1997年670例大肠癌进行回顾性分析。结果:670例中,34.6%属自身性延误,35.4%属医源性延误(外院为20.9%、本院为14.5%),并综合分析了延误的性质和原因。结论:提高对大肠癌的警惕性,重新认识其流行病学变化趋势,熟悉常见症状和诊断手段,加强肿瘤科普宣教是防范和减少延误的关键。
Purpose: To prevent and reduce delays in colorectal cancer. METHODS: According to the biological characteristics of colorectal cancer, the time limit criteria for defining the iatrogenic and spontaneous delays were proposed for the first time, and 670 cases of colorectal cancer from 1989 to 1997 were retrospectively analyzed. RESULTS: Of the 670 patients, 34.6% were self-induced delays, 35.4% were iatrogenic delays (20.9% in the outer court and 14.5% in the hospital), and the nature and causes of the delay were comprehensively analyzed. Conclusion: Improving the vigilance of colorectal cancer, re-evaluating its epidemiological trends, familiarizing with common symptoms and diagnostic methods, and strengthening popular science education on oncology is the key to preventing and reducing delays.