消化道恶性肿瘤伺机性筛查分析  

Analysis of opportunistic screening for gastrointestinal cancer

作　　者：王忠[1] 李杨[1] 何红兵 郝亚琴 宁敏曼[1] 黄光明[1] 何治军[1] 梅浙川[2] WANG Zhong;LI Yang;HE Hongbing;HAO Yaqin;NING Minman;HUANG Guangming;HE Zhijun;MEI Zhechuan(Department of Gastroenterology,the Fifth People′s Hospital of Chongqing,Chongqing 400062,China;Department of Gastroenterology,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆市第五人民医院消化内科,重庆400062 [2]重庆医科大学附属第二医院消化内科,重庆400010

出　　处：《现代医药卫生》2021年第18期3102-3106,共5页Journal of Modern Medicine & Health

摘　　要：目的分析消化道恶性肿瘤伺机性筛查结果,总结经验,为临床工作及社区宣教提供依据。方法整理研究2017年11月至2020年10月重庆市第五人民医院消化内镜中心完成胃肠镜检查的受检者,分析恶性肿瘤的发现及分布情况。结果共计完成胃肠镜检查25318例(男11532例,女13786例),发现恶性肿瘤病例301例(男218例,女83例),恶性肿瘤发现率为1.19%,且男性恶性肿瘤发现率(1.89%)明显高于女性(0.60%),肠镜恶性肿瘤发现率为2.19%(146/6658),明显高于胃镜[0.83%(155/18660)],女性低分化癌发现率明显高于男性,差异均有统计学意义(P<0.05);恶性肿瘤病例数量随年龄的增长而呈上升趋势,50岁以上人群恶性肿瘤病例占全部恶性肿瘤病例的95.35%。结论男性、下消化道更易发恶性肿瘤,伺机性筛查能有效发现消化道恶性肿瘤。Objective To analyze the opportunistic screening results of malignant tumors of the digestive tract,summarize experience and provide basis for clinical work and community education.Methods The data of patients who completed gastrointestinal endoscopy in the digestive endoscopy center of the Fifth People′s Hospital of Chongqing from November 2017 to October 2020 were collected to analyze the prevalence and distribution of malignant tumors.Results A total 25318 patients(11532 males and 13786 females)completed gastrointestinal endoscopy and 301 patients(218 males and 83 females)were found to have malignant tumors.The prevalence of malignant tumors was 1.19%,and that of males(1.89%)was significantly higher than that of females(0.60%).The prevalence of colorectal cancer was(2.19%,146/6658)significantly higher than that of gastric cancer(0.83%,155/18660).The prevalence of poorly differentiated cancer in females was significantly higher than that in males.The difference was statistically significant(P<0.05).The number of malignant tumor cases increased with age,and the population over 50 years old accounted for 95.35%of the total population.Conclusion Men and the low diagestive tract are nore prone to malignant tumors.Opportunistic screening can effectively detect gastrointestinal malignancies.

关 键 词：消化道恶性肿瘤 伺机性筛查 胃肠镜 

分 类 号：R730.1[医药卫生—肿瘤]