中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
Chinese Journal of Clinicians(Electronic Edition)
2015年
18期
3365-3368
,共4页
潘霞%王冠中%方德宁%李兴华
潘霞%王冠中%方德寧%李興華
반하%왕관중%방덕저%리흥화
结直肠肿瘤%问卷调查%结肠镜%筛查%粪便潜血试验
結直腸腫瘤%問捲調查%結腸鏡%篩查%糞便潛血試驗
결직장종류%문권조사%결장경%사사%분편잠혈시험
Colorectal neoplasms%Questionnaires%Colonoscopes%Screening%Faecal occult blood testing
目的 通过对上海市徐汇区特定年龄组高危人群进行大肠癌筛查,旨在早期发现大肠癌病变,并进行相关干预,减少发病率和死亡率.方法 对上海市徐汇区人群采用问卷调查和免疫法粪便潜血试验筛查方法进行初步筛查,初筛阳性者行电子结肠镜检查,对肠镜结果进行统计、分类、分析.结果 2012~2013年上海市徐汇区59 437人接受大肠癌筛查,经问卷调查确定为高危人群者7 761(13.04%)人,经大便潜血试验筛查,阳性者3 634(6.11%)人,初筛阳性者总计10 512 (17.66%)人.初筛阳性人群中1 000人接受结肠镜检查,肠镜顺应率9.51%,年龄40~82岁,检出总病变409(40.90%)例,大肠癌12例,男6例,女6例,年龄53~82岁,早癌5例,中晚期癌7例,肠镜大肠癌检出率1.20%,进展性腺瘤14例;普通腺瘤132例,非腺瘤性息肉118例,炎症76例,结肠黑变病31例,其他病变26例.结论 大城市大肠癌发病率较高,大肠癌筛查可以有效发现结直肠癌及癌前病变,个体化筛查需进一步探讨.
目的 通過對上海市徐彙區特定年齡組高危人群進行大腸癌篩查,旨在早期髮現大腸癌病變,併進行相關榦預,減少髮病率和死亡率.方法 對上海市徐彙區人群採用問捲調查和免疫法糞便潛血試驗篩查方法進行初步篩查,初篩暘性者行電子結腸鏡檢查,對腸鏡結果進行統計、分類、分析.結果 2012~2013年上海市徐彙區59 437人接受大腸癌篩查,經問捲調查確定為高危人群者7 761(13.04%)人,經大便潛血試驗篩查,暘性者3 634(6.11%)人,初篩暘性者總計10 512 (17.66%)人.初篩暘性人群中1 000人接受結腸鏡檢查,腸鏡順應率9.51%,年齡40~82歲,檢齣總病變409(40.90%)例,大腸癌12例,男6例,女6例,年齡53~82歲,早癌5例,中晚期癌7例,腸鏡大腸癌檢齣率1.20%,進展性腺瘤14例;普通腺瘤132例,非腺瘤性息肉118例,炎癥76例,結腸黑變病31例,其他病變26例.結論 大城市大腸癌髮病率較高,大腸癌篩查可以有效髮現結直腸癌及癌前病變,箇體化篩查需進一步探討.
목적 통과대상해시서회구특정년령조고위인군진행대장암사사,지재조기발현대장암병변,병진행상관간예,감소발병솔화사망솔.방법 대상해시서회구인군채용문권조사화면역법분편잠혈시험사사방법진행초보사사,초사양성자행전자결장경검사,대장경결과진행통계、분류、분석.결과 2012~2013년상해시서회구59 437인접수대장암사사,경문권조사학정위고위인군자7 761(13.04%)인,경대편잠혈시험사사,양성자3 634(6.11%)인,초사양성자총계10 512 (17.66%)인.초사양성인군중1 000인접수결장경검사,장경순응솔9.51%,년령40~82세,검출총병변409(40.90%)례,대장암12례,남6례,녀6례,년령53~82세,조암5례,중만기암7례,장경대장암검출솔1.20%,진전성선류14례;보통선류132례,비선류성식육118례,염증76례,결장흑변병31례,기타병변26례.결론 대성시대장암발병솔교고,대장암사사가이유효발현결직장암급암전병변,개체화사사수진일보탐토.
Objective Colorectal screening for cancer early detection and interventions has been done in retired group with specifically high risk to reduce morbidity and mortality.Methods We pre-screened 59 437 individuals by questionnaire combined with fecal occult blood test in Xuhui district of Shanghai. The positive cases were referred for further colonoscopy. Then the colonoscopy data has been analyzed.Results 59 437 individuals had been screened from 2012 to 2013. The high-risk individuals determined by the questionnaire survey were 7 761 (13.04%). The positive individuals in faecal occult blood testing were 3 634(6.11%). Positive individuals for the pre-screening were present in a total of 10 512 (17.66%). Among them, 1 000 (9.51%) completed colonoscopy, from 40 to 82 years old. A total of 409(40.90%) abnormal lesions were detected. Among those, we found 12 patients of cancer, 6 males and 6 females, from 53 to 82 years old, including 5 cases of early-stage cancer and 7 cases of advanced cancer, its detection rate was 1.20%. There were 14 advanced adenoma, 132 adenoma, 118 non-adenomatous polyp, 76 enteritis, 31 melanosis and 26 cases of others.Conclusion A higher incidence of colorectal cancer is observed in developed city. The colorectal cancer screening can effectively detect colorectal cancers and pre-cancerous lesions. It is necessary to further develop the personalize screening.
