中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
35期
163-165
,共3页
大便隐血%腺瘤%异型增生%大肠癌
大便隱血%腺瘤%異型增生%大腸癌
대편은혈%선류%이형증생%대장암
Fecal occult blood%Adenoma%Dysplasia%Colorectal cancer
目的：研究大便隐血与大肠疾病的关系，说明大便隐血检测在大肠疾病诊断中的作用。方法收集2012年3月~2014年3月份在上海市松江区九亭医院内镜室行肠镜检查患者粪便隐血实验结果，并与肠镜检查结果结合分析粪便隐血与大肠疾病的关系。结果大便隐血在大肠癌、异型增生、炎症性肠病、腺瘤、非腺瘤息肉、肠道炎症及无异常中的阳性率分别为83.33%、83.33%、66.67%、61.67%、39.22%、33.33%、6.16%。大肠癌大便隐血阳性率分别高于非腺瘤息肉、肠道炎症、正常肠黏膜(P<0.05)。癌前病变(异型增生、腺瘤)大便隐血阳性率分别高于非腺瘤息肉、肠道炎症、正常肠黏膜(P<0.05)。结论粪便隐血与大肠癌及癌前病变有重要的关系，因此大便隐血实验对于大肠癌及癌前病变的早期筛查有重要意义。
目的：研究大便隱血與大腸疾病的關繫，說明大便隱血檢測在大腸疾病診斷中的作用。方法收集2012年3月~2014年3月份在上海市鬆江區九亭醫院內鏡室行腸鏡檢查患者糞便隱血實驗結果，併與腸鏡檢查結果結閤分析糞便隱血與大腸疾病的關繫。結果大便隱血在大腸癌、異型增生、炎癥性腸病、腺瘤、非腺瘤息肉、腸道炎癥及無異常中的暘性率分彆為83.33%、83.33%、66.67%、61.67%、39.22%、33.33%、6.16%。大腸癌大便隱血暘性率分彆高于非腺瘤息肉、腸道炎癥、正常腸黏膜(P<0.05)。癌前病變(異型增生、腺瘤)大便隱血暘性率分彆高于非腺瘤息肉、腸道炎癥、正常腸黏膜(P<0.05)。結論糞便隱血與大腸癌及癌前病變有重要的關繫，因此大便隱血實驗對于大腸癌及癌前病變的早期篩查有重要意義。
목적：연구대편은혈여대장질병적관계，설명대편은혈검측재대장질병진단중적작용。방법수집2012년3월~2014년3월빈재상해시송강구구정의원내경실행장경검사환자분편은혈실험결과，병여장경검사결과결합분석분편은혈여대장질병적관계。결과대편은혈재대장암、이형증생、염증성장병、선류、비선류식육、장도염증급무이상중적양성솔분별위83.33%、83.33%、66.67%、61.67%、39.22%、33.33%、6.16%。대장암대편은혈양성솔분별고우비선류식육、장도염증、정상장점막(P<0.05)。암전병변(이형증생、선류)대편은혈양성솔분별고우비선류식육、장도염증、정상장점막(P<0.05)。결론분편은혈여대장암급암전병변유중요적관계，인차대편은혈실험대우대장암급암전병변적조기사사유중요의의。
Objective To study the relationship between fecal occult blood and colorectal disease to indicate the role of fecal occult blood test in the diagnosis of colorectal diseases. Methods The fecal occult blood testing results of the pa-tients checked by colonoscopy in endoscopy room at Jiuting hospital of Songjiang District in Shanghai city from March 2012 to March 2014 were collected,and the relationship between fecal occult blood and colorectal disease was analyzed combined with the results of the colonoscopy. Results The positive rate of occult blood test in colorectal cancer, yspla-sia,inflammatory bowel disease,adenoma,non -adenomatous polyp,intestinal inflammatory and no abnormality was 83.33%,83.33%,66.67%,61.67%,39.22%,33.33%,6.16%respectively.The positive rate of occult blood in colorectal can-cer was respectively higher than non-adenomatous polyp,intestinal inflammatory,normal intestinal mucosa (P<0.05).The positive rate of occult blood in precancerous lesion (adenoma,dysplasia) was respectively higher than non-adenomatous polyp,intestinal inflammatory,normal intestinal mucosa (P<0.05). Conclusion Fecal occult blood has more important re-lationship with colorectal cancer and precancerous lesion,so it is very nessesary for fecal occult blood test for screening colorectal cancer and precancerous lesion early.
