筛检大肠癌前病变的研究(附7603例结果分析)  

A Study on Sequential Screening' of Pre-malignant Diseases of Colon.An Analysis of 7603 Cases

作　　者：韩英[1] 何绮娜[1] 王庭桂[1] 宋巧云[1] 赵淑霞[1] 王苏宁[1] 谷成明[1] 倪海英[1] 曾维富[1] 查秋云 冯金秀[1] 王玉瑾[1] 

机构地区：[1]白求恩国际和平医院,石家庄市050082 [2]白求恩国际和平医院内一科

出　　处：《中国肿瘤临床》1993年第3期200-202,共3页Chinese Journal of Clinical Oncology

摘　　要：本研究对35岁以上正常人群进行普查筛检,以期发现早期大肠癌。7603例受检者中试纸法粪便隐血试验的阳性率为12.9％(986例),应用我院自制的羊抗人血红蛋白抗体进行免疫法复检的阳性率仅为1.4％(108例)。90例免疫法阳性者接受纤维结肠镜检查,发现大肠病变23例(0.3％)。本研究结果表明,进行大范围普查筛检,可以提高病变检出率,并能检出亚临床状态的大肠癌前病变,进行防治观察。本研究采用的筛检法简便易行,经济实效。Sequential Screening' was used to investigate 7603 healthy adults for the detection of early cancer and premalignant diseases of colon. Of them 986 cases (12. 9%) were positive for fecal occult blood by routine test and 108 (1.4%) were positive by immune reaction test (with sheep anti-human hemoglobulin antibody developed in our hospital). Ninty of the 108 were examined by colonascopy and subclinical colonic diseases were detected in 23 (0.3%). Evidently, the Sequential Screening'is very promaing in mass screening, in terms of economy and efficiency in detect- ing subclical premalignant diseases.

关 键 词：癌前病变 结肠镜检查 大肠肿瘤 

分 类 号：R735.340.4[医药卫生—肿瘤]