内镜筛查及切除息肉病理检查在早期大肠癌诊断中的意义  

SIGNIFICANCE OF CLINICAL SCREENING COLONOSCOPY AND COLONOSCOPIC POLYPECTOMY WITH PATHOLOGY IN DIAGNOSIS OF EARLY COLON CANCER

作　　者：吕愈敏[1,2] 顾芳[1,2] 林三仁[1,2] 褚志敏 

机构地区：[1]北京医科大学第三医院消化科 [2]唐山开滦矿务局林西矿医院

出　　处：《中华消化内镜杂志》1997年第4期222-224,共3页Chinese Journal of Digestive Endoscopy

摘　　要：为探讨临床内镜筛查及切除息肉病理检查在早期大肠癌诊断中的价值，总结分析了北医大三院１９７８年至１９９６年９月所有大肠镜检查的资料。１８年间行大肠镜检查１８１２３例、内镜下息肉切除２３４５例，共发现早期大肠癌８０例、８６个癌灶，占同期发现大肠癌总数的１５．１％（８６／５６９）。早期大肠癌的诊断率呈上升趋势，特别是１９８７年开展临床内镜筛查以来升高尤为显著。相关分析显示早期大肠癌的诊断率与内镜检查特别是内镜下息肉切除后的病理检查密切相关，提示该两项方法为诊断早期大肠癌的有效方法。To investigate the role of clinical screening colonoscopy and colonoscopic polypectomy with pathology in diagnosis of early colon cancer, the colonoscopic records from 1978 to Sept. 1996 were studied. 18 123 subjects received colonoscopy and 2 345 underwent colonoscopic polypectomy. 86 early cancers (80 cases) and 569 advanced cancers were diagnosed. The diagnositic ratio of early colon cancer was 15 1% (86/569). Analysis showed that detection of early cancer was correlated with increasing number of colonoscopy and colonoscopic polypectomy. It was suggested that clinical screening colonoscopy and colonoscopic polypectomy with pathology be an effective means in early detection.

关 键 词：早期 大肠肿瘤 内窥镜 息肉切除 

分 类 号：R735.340.4[医药卫生—肿瘤]