中山市小榄镇无症状人群结直肠癌普查  

Screening Study of Colorectal Cancer in Asymptomatic Population in Xiaolan Town of Zhongshan City

作　　者：戴小华[1] 李锋[1] 盛建文 

机构地区：[1]南方医科大学附属小榄医院,广东中山528415 [2]江西省宜春市人民医院消化内科,江西宜春336300

出　　处：《中国现代医生》2009年第34期96-97,共2页China Modern Doctor

摘　　要：目的探讨粪便隐血试验结合大肠镜检查作为大肠癌普查方式的可行性。方法自2007年4月～2009年4月,对中山市小榄镇无症状≥50岁的人群行免疫组化粪便隐血试验,对任何1次粪便隐血阳性(包括弱阳性)的患者行全结肠镜检查。同时对发现息肉的数量及病理结果进行统计。结果受检者共4238例,粪便隐血试验阳性者328例,阳性率7.7%,共108例患者发现了147枚结肠息肉,包括腺瘤性息肉94枚、炎性息肉32枚、增生性息肉21枚,发现肠癌8例。结论粪便隐血试验结合大肠镜检查对无症状的人群进行普查能较早发现结肠息肉。Objective To explore the feasibility of fecal occult blood test（FOBT） combined with colonoscopy in screening colorectal cancer. Methods The immunohistochemical fecal occult blood test（FOBT） was carried out in the population aged over 50 years old without any colorectal cancer （CRC） related symptoms in Xiaolan Town of Zhongshan city from April 2007 to April 2009,and those with positive FOBT （including weak positive FOBT）in any of the stool samples underwent colonoscopy. The number and type of detected polyps were recorded. Results Of 4238 screened subjects, FOBT was positive in 328（7.7% ）, and 147 polyps were found in 108 subjects including 94 adenomatous polyps,32 inflammatory polyps and 21 hyperplastic polyps,and rectal cancer was detected in 8 subjects. Conclusion Screening colorectal cancer by using FOBT and colonoscopy in asymptomatic people can detect colon polyps earlier.

关 键 词：结直肠癌 普查 潜血 结肠镜检查 

分 类 号：R587.1[医药卫生—内分泌]