中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2012年
3期
166-169
,共4页
沈振海%陆昀%李凤%冯银波%李红卫%王凌%宋文军%黄荣根%鲍艳英
瀋振海%陸昀%李鳳%馮銀波%李紅衛%王凌%宋文軍%黃榮根%鮑豔英
침진해%륙윤%리봉%풍은파%리홍위%왕릉%송문군%황영근%포염영
体格检查%肿瘤%随访研究
體格檢查%腫瘤%隨訪研究
체격검사%종류%수방연구
Physical examination%Neoplasms%Follow-up studies
目的 回顾性分析健康体检人群中恶性肿瘤的检出特点,探讨如何提高健康体检人群中的恶性肿瘤检出率.方法 以我院近5年健康体检人群140 127例中发现并病理确诊的186例恶性肿瘤患者为研究对象.比较恶性肿瘤的检出与年龄、性别、地域等关系以及症状和实验室阳性结果对恶性肿瘤诊断的作用.结果 病理确诊恶性肿瘤的检出率为0.133％(186例).前5位恶性肿瘤依次为肺癌0.036％(51例)、肝癌0.017％(24例)、肾癌0.014％(20例)、结直肠癌0.013％(18例)和胃癌0.011％(16例).186例恶性肿瘤中无症状者158例,占84.9％.超声对肝、肾、甲状腺癌等实质性脏器的灵敏度优于肿瘤标志物(TM);将胸片、TM、症状和胸部低剂量CT相结合,可提高肺癌检出率.2008年消化道恶性肿瘤检出率高达0.083％,明显高于其他年度(x2=11.792,P＜0.05)及当年度肺癌检出率(X2=8.538,P＜0.05).结论 健康体检是早期发现恶性肿瘤的重要途径.由于体检发现的恶性肿瘤大部分无症状,而超声、胸片、TM和CT对恶性肿瘤的检出作用各有特点,充分发挥总检医生和检后随访的作用,将有助于提高恶性肿瘤的检出率.
目的 迴顧性分析健康體檢人群中噁性腫瘤的檢齣特點,探討如何提高健康體檢人群中的噁性腫瘤檢齣率.方法 以我院近5年健康體檢人群140 127例中髮現併病理確診的186例噁性腫瘤患者為研究對象.比較噁性腫瘤的檢齣與年齡、性彆、地域等關繫以及癥狀和實驗室暘性結果對噁性腫瘤診斷的作用.結果 病理確診噁性腫瘤的檢齣率為0.133％(186例).前5位噁性腫瘤依次為肺癌0.036％(51例)、肝癌0.017％(24例)、腎癌0.014％(20例)、結直腸癌0.013％(18例)和胃癌0.011％(16例).186例噁性腫瘤中無癥狀者158例,佔84.9％.超聲對肝、腎、甲狀腺癌等實質性髒器的靈敏度優于腫瘤標誌物(TM);將胸片、TM、癥狀和胸部低劑量CT相結閤,可提高肺癌檢齣率.2008年消化道噁性腫瘤檢齣率高達0.083％,明顯高于其他年度(x2=11.792,P＜0.05)及噹年度肺癌檢齣率(X2=8.538,P＜0.05).結論 健康體檢是早期髮現噁性腫瘤的重要途徑.由于體檢髮現的噁性腫瘤大部分無癥狀,而超聲、胸片、TM和CT對噁性腫瘤的檢齣作用各有特點,充分髮揮總檢醫生和檢後隨訪的作用,將有助于提高噁性腫瘤的檢齣率.
목적 회고성분석건강체검인군중악성종류적검출특점,탐토여하제고건강체검인군중적악성종류검출솔.방법 이아원근5년건강체검인군140 127례중발현병병리학진적186례악성종류환자위연구대상.비교악성종류적검출여년령、성별、지역등관계이급증상화실험실양성결과대악성종류진단적작용.결과 병리학진악성종류적검출솔위0.133％(186례).전5위악성종류의차위폐암0.036％(51례)、간암0.017％(24례)、신암0.014％(20례)、결직장암0.013％(18례)화위암0.011％(16례).186례악성종류중무증상자158례,점84.9％.초성대간、신、갑상선암등실질성장기적령민도우우종류표지물(TM);장흉편、TM、증상화흉부저제량CT상결합,가제고폐암검출솔.2008년소화도악성종류검출솔고체0.083％,명현고우기타년도(x2=11.792,P＜0.05)급당년도폐암검출솔(X2=8.538,P＜0.05).결론 건강체검시조기발현악성종류적중요도경.유우체검발현적악성종류대부분무증상,이초성、흉편、TM화CT대악성종류적검출작용각유특점,충분발휘총검의생화검후수방적작용,장유조우제고악성종류적검출솔.
Objective Retrospectively investigate the characteristics of neoplasma of health checkup participants to find ways to improve cancer detection rate.Methods A total of 186 confirmed cancer patients were enrolled in this study.Personal information,including age,gender,and location were collected.The contribution of clinical symptoms,physical examination and laboratory test to cancer detection was investigated.Results Biopsy confirmed cancers accounted for 0.133％ ( 186/140 127 ).Lung (0.036％ ),liver ( 0.017％ ),kidney ( 0.014％ ),colorectal ( 0.013％ ) and gastric cancer ( 0.011％ )were the most commonly found neoplasma.Detection rate of liver cancer in male was significantly higher than that in female (x2 =6.181,P＜0.05 ).Asymptomatic cancer was found in 158 adults (84.9％ ).Ultrasound showed a significantly higher sensitivity to liver,kidney and thyroid cancer than tumor biomarkers.The detection of lung cancer was improved with the combination of X ray,tumor marker( TM ),clinical symptom and low-dose chest CT scan.In 2008,the detection rate for digest system carcinoma (0.083％ ) and lung cancer (x2 =8.538,P＜0.05) was significantly increased (x2 =11.792,P＜0.05).Conclusions Health check-up plays an important role in early detection of cancer.The combined use of physical examination,chest X ray,ultrasound test,TM and CT may improve the detection of cancer.
