中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2010年
11期
822-824
,共3页
冷强%吴崑岚%金黑鹰%刘萍%林慧萍%张金浩%叶辉%朱勇%章金春
冷彊%吳崑嵐%金黑鷹%劉萍%林慧萍%張金浩%葉輝%硃勇%章金春
랭강%오곤람%금흑응%류평%림혜평%장금호%협휘%주용%장금춘
结直肠肿瘤%结直肠息肉%部位分布%结肠镜%筛查
結直腸腫瘤%結直腸息肉%部位分佈%結腸鏡%篩查
결직장종류%결직장식육%부위분포%결장경%사사
Colorectal neoplasms%Colorectal polyps%Location distribution%Colonoscopy%Screening
目的 研究人群中结直肠肿瘤的分布特征,并探讨其对结直肠癌筛查工作的指导意义.方法 对南京中医药大学第三附属医院全国肛肠医疗中心2004年10月至2009年6月进行的17 939例结肠镜检查结果进行回顾性研究,观察结直肠肿瘤的性别、年龄及部位分布特征.结果 共诊断结直肠肿瘤4450例(24.8%),其中结直肠息肉3410例(19.0%),结直肠腺癌1040例(5.8%).肿瘤检出率男性明显高于女性(P＜0.01).结直肠肿瘤检出率从40岁开始明显增加(P＜0.01),并随年龄的增长逐渐上升.结直肠肿瘤分布以远端结肠(直肠、乙状结肠)为主,占63.3%,近端结肠占36.7%.其中息肉局限于远端结肠者1802例(52.8%)、局限于近端结肠者1049例(30.8%)、同时位于近、远端结肠者559例(16.4%).癌肿位于远端结肠者921例(88.6%),位于近端结肠者118例(11.3%),同时位于近、远端结肠1例(0.1%).结论 乙状结肠镜检查不足以对全结肠肿瘤进行筛查,采用全结肠镜检查进行结直肠癌的筛查更具优势.
目的 研究人群中結直腸腫瘤的分佈特徵,併探討其對結直腸癌篩查工作的指導意義.方法 對南京中醫藥大學第三附屬醫院全國肛腸醫療中心2004年10月至2009年6月進行的17 939例結腸鏡檢查結果進行迴顧性研究,觀察結直腸腫瘤的性彆、年齡及部位分佈特徵.結果 共診斷結直腸腫瘤4450例(24.8%),其中結直腸息肉3410例(19.0%),結直腸腺癌1040例(5.8%).腫瘤檢齣率男性明顯高于女性(P＜0.01).結直腸腫瘤檢齣率從40歲開始明顯增加(P＜0.01),併隨年齡的增長逐漸上升.結直腸腫瘤分佈以遠耑結腸(直腸、乙狀結腸)為主,佔63.3%,近耑結腸佔36.7%.其中息肉跼限于遠耑結腸者1802例(52.8%)、跼限于近耑結腸者1049例(30.8%)、同時位于近、遠耑結腸者559例(16.4%).癌腫位于遠耑結腸者921例(88.6%),位于近耑結腸者118例(11.3%),同時位于近、遠耑結腸1例(0.1%).結論 乙狀結腸鏡檢查不足以對全結腸腫瘤進行篩查,採用全結腸鏡檢查進行結直腸癌的篩查更具優勢.
목적 연구인군중결직장종류적분포특정,병탐토기대결직장암사사공작적지도의의.방법 대남경중의약대학제삼부속의원전국항장의료중심2004년10월지2009년6월진행적17 939례결장경검사결과진행회고성연구,관찰결직장종류적성별、년령급부위분포특정.결과 공진단결직장종류4450례(24.8%),기중결직장식육3410례(19.0%),결직장선암1040례(5.8%).종류검출솔남성명현고우녀성(P＜0.01).결직장종류검출솔종40세개시명현증가(P＜0.01),병수년령적증장축점상승.결직장종류분포이원단결장(직장、을상결장)위주,점63.3%,근단결장점36.7%.기중식육국한우원단결장자1802례(52.8%)、국한우근단결장자1049례(30.8%)、동시위우근、원단결장자559례(16.4%).암종위우원단결장자921례(88.6%),위우근단결장자118례(11.3%),동시위우근、원단결장1례(0.1%).결론 을상결장경검사불족이대전결장종류진행사사,채용전결장경검사진행결직장암적사사경구우세.
Objective To study the distribution characteristics of colorectal neoplasm and evaluate the implication for colorectal cancer screening.Methods A total of 17,939 colonoscopies were performed in the National Center of Colorectal Surgery between October 2004 and June 2009.Characteristics of colorectal neoplasm including anatomical distribution,sex,and age were investigated.Results Colorectal neoplasm was found in 24.8%(4450/17,939) of the patients during colonoscopy,including adenomatous polyp (n=3410,19.0%) and adenocarcinoma (n=1040,5.8%).The prevalence of colorectal neoplasm was higher in male and significantly increased in patients older than 40 years.63.3% of the lesions located at the distal colon (sigmoid colon and rectum) and 36.7% at the proximal colon (36.7%).In patients with adenomatous polyp,52.8%(1802/3410) of the lesions were at the distal colon,30.8% (1049/3410) at the proximal colon,and 16.4% (559/3410) at both distal and proximal colon.In patients with carcinoma (n=1040),921 (88.6%) lesions located at the distal colon,118(11.3%) at the proximal colon,and 1(0.1%) at both segments.Conclusion Sigmoidoscopy is inadequate for colorectal cancer screening as compared to colonoscopy.
