2013-2016年宁夏结直肠癌高危人群肠镜筛查结果分析  

Analysis the Results of Colonoscopy Screening for High-risk Groups of Colorectal Cancer in Ningxia from 2013 to 2016

作　　者：杜建财[1] 海明辉 杨艺[1] 马晓燕 DU Jiancai;HAI Minghui;YANG Yi;MA Xiaoyan(Center for Disease Prevention and Control of Ningxia Hui Autonomous Region,Yinchuan750004,China;Worker Sanatorium of Ningxia Hui Autonomous Region,Yinchuan750002,China;People’s Government of Qingshan Town of Yanchi County,Yanchi751503,China)

机构地区：[1]宁夏疾病预防控制中心,银川750004 [2]宁夏工人医院,银川750002 [3]盐池县青山乡人民政府,盐池751503

出　　处：《宁夏医科大学学报》2019年第6期607-610,共4页Journal of Ningxia Medical University

摘　　要：目的通过分析结直肠癌高危人群肠镜检查结果,为相关部门制定防控策略和措施提供数据支持。方法收集2013-2016年结直肠癌高危人群接受肠镜检查的结果,计算不同特征人群患者检出率,探讨患者发病的影响因素。结果共有3949例高危人群接受肠镜检查,检出患者205例,患者检出率为5.2%,其中进展期腺瘤患者184例、伴上皮中-重度异型增生的其他病变患者11例,癌症患者10例;50岁以上男性患者检出率高于女性;不同文化水平的筛查人群中,具有小学文化程度患者检出率最低3.3%。年龄、高中及以上文化程度、慢性腹泻、慢性便秘、不良生活事件及粪便潜血阳性是结直肠癌的危险因素。结论50岁以上居民以及有慢性腹泻、慢性便秘、不良生活事件及粪便潜血阳性史是结直肠癌的危险因素。Objective By analyzing the results of enteroscopy in high-risk population of colorectal cancer,data support was provided for relevant departments to formulate prevention and control strategies and measures.Methods The results of colonoscopy examination in high-risk groups of colorectal cancer from 2013 to 2016 were collected.Detection rate of patients with different characteristics were calculated.Multivariate analysis was used to analyze the factors influencing the detection rate.Results Total 205 patients were detected,and the detection rate was 5.2%,including 184 cases of advanced adenoma,11 cases of other lesions accompanied by epithelial-to-severe dysplasia,and 10 cases of cancer,from 3949 high-risk groups received colonoscopy.The detection rate of male patients was significantly higher than that of female over 50 years old.Among the screening population with different educational levels,the detection rate of primary school education patients was the lowest of 3.3%.Age,high school education,chronic diarrhea,chronic constipation,adverse life events and positive fecal occult blood were risk factors for colorectal cancer.Conclusion Residents over 50 years of age,chronic diarrhea,chronic constipation,adverse life events and positive history of fecal occult blood are risk factors for colorectal cancer.

关 键 词：结直肠癌 高危人群 肠镜 分析 

分 类 号：R735.3[医药卫生—肿瘤]