大肠肿瘤机会性筛查初探  

Preliminar study of opportunistic screening for colorectal neoplasm

作　　者：钟选芳[1] 许岸高[1] 肖丹[1] 甘爱华[1] 张晓慧[1] 钟旭辉[1] 林燕华[1] 

机构地区：[1]广东惠州市第一人民医院消化内科,广东惠州516001

出　　处：《胃肠病学和肝病学杂志》2013年第5期404-406,共3页Chinese Journal of Gastroenterology and Hepatology

基　　金：广东省医学科学技术研究基金项目(B2011340)

摘　　要：目的初步探讨大肠肿瘤机会性筛查的临床应用价值。方法采用问卷调查、粪隐血试验、结肠镜检查的方法,统计分析2011年11月-2012年8月到我院消化门诊就诊患者行大肠肿瘤机会性筛查情况。结果共573例最终进入筛查,其中148例通过宣传教育后进入筛查队伍,占筛查人群的25.83%(148/573),粪隐血试验依从性为80.45%(461/573),阳性率为6.07%(28/461);结肠镜检查的依从性为90.05%(516/573)。粪隐血试验阳性人群接受结肠镜检查的依从性为92.86%(26/28);结肠镜检出大肠肿瘤共194例,检出率为37.60%(194/516),其中检出大肠癌共25例,检出率为4.84%(25/516)。结论机会性筛查人群依从性高,可以更多地检出大肠癌和癌前疾病,医师的推荐是影响筛查依从性的重要因素,开展机会性筛查是一个值得探索的适合国情的大肠肿瘤筛查模式。Objective To study the clinical application value of opportunistic screening for colorectal neoplasm. Methods Questionnaire survey, fecal occult blood test and eolonoscopy were performed to opportunistic screening pa- tients who visited gastroenterology clinic in our hospital from Nov. 2011 to Aug. 2012. Results 573 patients entered the screening, and 148 patients entered the screening by publicity and education, accounted for 25.83% （148/573） screening people. The compliance of fecal occult blood test was 80. 459% （461/573） , the positive rate was 6.07% （28/ 461 ） ; the compliance of colonoscopy was 90.05% （516/573） , the compliance of colonoscopy in positive people of fecal occult blood test was 92.86% （26/28） ; 194 colorectal neoplasms were detected by colonoscopy, the detection rate was 37.60% （194/516） , including 25 cases of coloreetal cancer （4.84%）. Conclusion The compliance of opportunistic screening for eolorectal neoplasm is high. Physician＇ s recommendation is the key factor of influence screening compli- ance.

关 键 词：大肠肿瘤 机会性筛查 依从性 

分 类 号：R735.34[医药卫生—肿瘤]