重庆南岸城市直肠癌高危人群结肠镜筛查分析  

Analysis of colonoscopy screening among high risk urban people of colon cancer in Chongqing Nan′an

作　　者：王忠[1,2] 何治军[2] 宁敏曼[2] 尹晓燕[2] 李杨[2] 王惠[2] 邱惠[3] 梅浙川[1] 

机构地区：[1]重庆医科大学第二临床学院,重庆400015 [2]重庆市第五人民医院消化内镜中心,400062 [3]重庆市肿瘤研究所,400030

出　　处：《重庆医学》2017年第22期3108-3110,共3页Chongqing medicine

摘　　要：目的了解重庆南岸城市直肠癌高危人群结肠镜筛查结果,阳性病变情况,为社区健康指导提供依据。方法整理研究于2013-2016年根据《中国城市癌症早诊早治》项目筛查出的直肠癌高危人群并到重庆市第五人民医院消化内镜中心完成结肠镜筛查的受检者,分析各种病变阳性率。结果共计纳入435例受检者,发现阳性病例141例,总体阳性率32.41%(141/435),其中男性阳性病例75例,阳性率47.47%(75/158),女性阳性病例66例,阳性率23.83%(66/277),息肉检出率为28.27%(123/435),肿瘤性病变检出率为7.59%(33/435),腺癌检出率为0.46%(2/435);男性总体阳性检出率高于女性(χ~2=25.669,P<0.01)。结论由社区初筛出高危人群再行结肠镜检查的序贯筛查方式对于肠道病变的发现有重要意义。Objective To understand the screening results and positive lesion situation of colonoscopy screening among high risk urban population of colon cancer in Cbongqing Nan＇ an District to provide a basis for the community heath guidance. Methods The high risk subjects of colon cancer screened according to the item of the Early Diagnosis and Early Treatment of Chi na Urban Cancer and in our center for completing colonoscopy screening during 2013-2016 were collected and analyzed on the positive rates of various lesions. Results A total of 435 subjects were included, 141 positive cases were found with the total positive rate of 32.41% （141/435） ,in which 75 cases were male positive with the positive rate of 47.47 % （75/158）, and 66 cases were female positive with the positive rate of 23.83 % （66/277）, the polyps detective rate was 28.27 % （123/435）, tumor-like lesion detective rate was 7.59%（33/435）, the adenocarcinoma detection rate was 0. 46% （2/435） the total positive rate of male was higher than that of female（Х^2 = 25. 669, P〈0.01）. Conclusion The sequential screening mode in which the high risk population preliminarily screened out by community then performs colonoscopy examination has an important significance for discovering the intestinal tract lesion.

关 键 词：直肠肿瘤 结肠镜 筛查 重庆南岸 城市高危人群 

分 类 号：R735.3[医药卫生—肿瘤]