广东从化地区高龄大肠癌早期筛查结果分析  

An analysis on results of the elderly colorectal cancer screening study in Conghua Guangdong

作　　者：李国文 曾山崎[2] 李莉珊 罗文辉 杨平[2] 

机构地区：[1]广州市从化街口街社区卫生服务中心,广东省510900 [2]广州医科大学附属广州市第一人民医院

出　　处：《中华临床医师杂志（电子版）》2015年第2期54-56,共3页Chinese Journal of Clinicians(Electronic Edition)

基　　金：广州市科技计划项目(2014Y2-00189)

摘　　要：目的对广东从化地区高龄(≥60周岁)人群进行大肠癌早期筛查,调查大肠癌及其他大肠病变的检出率,并分析大肠病变的特点及相关因素。方法筛查对象为广东从化地区常住人口,通过问卷调查及大便隐血检查筛查出高危人群,并对高危人群进行电子结肠镜检查。结果通过问卷调查及大便隐血检查筛出高危人群828例,阳性率15.98%;高危人群行电子结肠镜发现大肠息肉102例(31.19%),大肠癌6例(1.84%),大肠炎症12例(3.67%),其他疾病3例(0.92%)。结论高龄人群有较高的大肠息肉发生率,大肠癌早期筛查对于降低广东从化地区高龄人群大肠息肉和大肠癌的发病率有重要意义。Objective To evaluate the detection rates of colorectal polyps and cancer in the elderly and characterize the pathological features of the colorectal neoplasm and cancer in Conghua Guangdong, and analyze the characteristics and related factors of colorectal lesions. Methods The subjects aged ≥60 were recruited from the colorectal cancer screening program, including subjects registered in Conghua Guangdong. Each subject completed a questionnaire and a fecal occult blood test. Colonoscopies were conducted in 327 subjects with high risk for colorectal cancer. Results Among all the subjects, 828 were at high risk for colorectal cancer which accounts for 15. 98%（828/5 182） of the total subjects. Among the subjects who underwent the colonoscopy, 102 （men： 74, women： 28） were colorectal polyps accounting for 31.19% （102/327） in the high risk and 4 subjects （1.84%） cancer. Conclusion There is a higher incidence of colorectal polyps in the elderly. It is important to establish the sequential colorectal cancer screening program for the early diagnoses of colorectal polyps and cancer of Conghua Guangdong in the elderly.

关 键 词：结直肠肿瘤 肠息肉 老年人 筛查 

分 类 号：R735.34[医药卫生—肿瘤]