中华消化杂志
中華消化雜誌
중화소화잡지
Chinese Journal of Digestion
2015年
3期
179-182
,共4页
申玉翠%韩冰%徐建华%高鹏%张其胜
申玉翠%韓冰%徐建華%高鵬%張其勝
신옥취%한빙%서건화%고붕%장기성
结直肠肿瘤%结直肠息肉%结肠镜检查%筛查
結直腸腫瘤%結直腸息肉%結腸鏡檢查%篩查
결직장종류%결직장식육%결장경검사%사사
Colorectal neoplasms%Colorectal polyps%Colonoscopy%Screening
目的 了解上海市社区人群的结直肠癌患病情况,探讨对社区居民进行结直肠癌筛查的必要性.方法 选取2013年4月至2014年9月参加上海市结直肠癌筛查,发现粪隐血试验阳性和(或)结直肠癌高危因素调查表评价为高危因素者进行结肠镜检查,共纳入1990例,对其结肠镜检查结果进行回顾性分析.统计学分析采用卡方检验.结果 1990例结肠镜检查者的年龄为50～92岁,其中结直肠息肉,结直肠癌和类癌共有1 027例,总体检出率为51.6％.结直肠息肉的检出率为48.7％(969/1990),结直肠息肉最大径约为3.5 cm.男性的结直肠息肉检出率为59.3％(532/897),高于女性的40.0％(437/1 093),差异有统计学意义(x2=73.7,P＜0.01).50～＜60岁、60～＜70岁、70～＜80岁、≥80岁组的结直肠息肉检出率分别为37.5％(139/371)、48.7％(524/1 075)、55.9％(248/444)、58.0％(58/100),差异有统计学意义(x2=31.3,P＜0.01).结直肠癌的检出率为2.7％(54/1 990),男性的结直肠癌检出率为3.8％(34/897),高于女性的1.8％(20/1093),差异有统计学意义(x2=7.2,P＜0.05).50～＜60岁、60～＜70岁、70～＜80岁、≥80岁组的结直肠癌检出率分别为1.6％(6/371)、1.9％(20/1 075)、4.3％(19/444)、9.0％(9/100),差异有统计学意义(x2=23.7,P＜0.01).直肠类癌的检出率为0.2％(4/1990).结论 上海社区结直肠癌筛查高危人群的结直肠息肉及结直肠癌的发病率高,采用序贯筛查方法对≥50岁的社区人群进行结直肠癌筛查具有重要意义.
目的 瞭解上海市社區人群的結直腸癌患病情況,探討對社區居民進行結直腸癌篩查的必要性.方法 選取2013年4月至2014年9月參加上海市結直腸癌篩查,髮現糞隱血試驗暘性和(或)結直腸癌高危因素調查錶評價為高危因素者進行結腸鏡檢查,共納入1990例,對其結腸鏡檢查結果進行迴顧性分析.統計學分析採用卡方檢驗.結果 1990例結腸鏡檢查者的年齡為50～92歲,其中結直腸息肉,結直腸癌和類癌共有1 027例,總體檢齣率為51.6％.結直腸息肉的檢齣率為48.7％(969/1990),結直腸息肉最大徑約為3.5 cm.男性的結直腸息肉檢齣率為59.3％(532/897),高于女性的40.0％(437/1 093),差異有統計學意義(x2=73.7,P＜0.01).50～＜60歲、60～＜70歲、70～＜80歲、≥80歲組的結直腸息肉檢齣率分彆為37.5％(139/371)、48.7％(524/1 075)、55.9％(248/444)、58.0％(58/100),差異有統計學意義(x2=31.3,P＜0.01).結直腸癌的檢齣率為2.7％(54/1 990),男性的結直腸癌檢齣率為3.8％(34/897),高于女性的1.8％(20/1093),差異有統計學意義(x2=7.2,P＜0.05).50～＜60歲、60～＜70歲、70～＜80歲、≥80歲組的結直腸癌檢齣率分彆為1.6％(6/371)、1.9％(20/1 075)、4.3％(19/444)、9.0％(9/100),差異有統計學意義(x2=23.7,P＜0.01).直腸類癌的檢齣率為0.2％(4/1990).結論 上海社區結直腸癌篩查高危人群的結直腸息肉及結直腸癌的髮病率高,採用序貫篩查方法對≥50歲的社區人群進行結直腸癌篩查具有重要意義.
목적 료해상해시사구인군적결직장암환병정황,탐토대사구거민진행결직장암사사적필요성.방법 선취2013년4월지2014년9월삼가상해시결직장암사사,발현분은혈시험양성화(혹)결직장암고위인소조사표평개위고위인소자진행결장경검사,공납입1990례,대기결장경검사결과진행회고성분석.통계학분석채용잡방검험.결과 1990례결장경검사자적년령위50～92세,기중결직장식육,결직장암화유암공유1 027례,총체검출솔위51.6％.결직장식육적검출솔위48.7％(969/1990),결직장식육최대경약위3.5 cm.남성적결직장식육검출솔위59.3％(532/897),고우녀성적40.0％(437/1 093),차이유통계학의의(x2=73.7,P＜0.01).50～＜60세、60～＜70세、70～＜80세、≥80세조적결직장식육검출솔분별위37.5％(139/371)、48.7％(524/1 075)、55.9％(248/444)、58.0％(58/100),차이유통계학의의(x2=31.3,P＜0.01).결직장암적검출솔위2.7％(54/1 990),남성적결직장암검출솔위3.8％(34/897),고우녀성적1.8％(20/1093),차이유통계학의의(x2=7.2,P＜0.05).50～＜60세、60～＜70세、70～＜80세、≥80세조적결직장암검출솔분별위1.6％(6/371)、1.9％(20/1 075)、4.3％(19/444)、9.0％(9/100),차이유통계학의의(x2=23.7,P＜0.01).직장유암적검출솔위0.2％(4/1990).결론 상해사구결직장암사사고위인군적결직장식육급결직장암적발병솔고,채용서관사사방법대≥50세적사구인군진행결직장암사사구유중요의의.
Objective To investigate the prevalence of colorectal cancer in community people in Shanghai,and clarify the necessity of colorectal cancer screening in community residents.Methods From April 2013 to September 2014,colonoscopy examination was carried out in people who participated in colorectal cancer screening in Shanghai with positive result of fecal occult blood test or with high-risk in colorectal cancer evaluated with the risk factors questionnaire.A total of 1 990 individuals were recruited.The colonoscopic results of them were retrospectively analyzed.Chi-square test was performed for statistical analysis.Results The 1 990 individuals received colonoscopy examination aged from 50 to 92.Among the 1 990 individuals with colonoscopy examination,colorectal polyps,colorectal cancer and carcinoid were found in 1 027 cases,and the total detection rate was 51.6％.The detection rate of colorectal polyps was 48.7％ (969/1 990),and the maximum diameter of polyps was 3.5 cm.The detection rate of colorectal polyps of the male was 59.3％ (532/897),which was higher than that of the female (40.0％,437/1 093),and the difference was statistically significant (x2 =73.7,P＜0.01).The detection rate of colorectal polyps in group 50 to 60 (not include 60) years old,60 to 70 (not include 70) years old,70 to 80 (not include 80) years old and ≥80 years old was 37.5％ (139/371),48.7％ (524/1 075),55.9％ (248/444) and 58.0％ (58/100),respectively.The difference was statistically significant (x2 =31.3,P＜0.01).The detection rate of colorectal cancer was 2.7 ％ (54/1 990).The detection rate of male rectal cancer was 3.8％ (34/897),which was significantly higher than that of female (1.8％,20/1 093),and the difference was statistically significant (x2 =7.2,P＜0.05).The detection rate of colorectal cancer in group 50 to 60 (not include 60) years old,60 to 70 (not include 70) years old,70 to 80 (not include 80) years old and ≥80 years old was 1.6％ (6/371),1.9％ (20/1 075),4.3％ (19/444) and 9.0％ (9/100),respectively.The difference was statistically significant (x2 =23.7,P＜0.01).The detection rate of rectal carcinoid was 0.2 ％ (4/1 990).Conclusions The prevalence of colorectal polyps and cancer is high in screening community people with high-risk of colorectal cancer.Colorectal cancer screening in community people ≥ 50 years old with sequential screening method is important.
