广西地区6家医院结肠镜下结直肠癌检出率的分析研究  

Analytical study of the detection rate of colorectal cancer by colonoscopy in 6 hospitals in Guangxi areas

作　　者：梁斌 姜志勇[2] 罗显克[3] 张启芳[4] 杨悦军 何咖鲒 卢东诚 胡榜利 姜海行[1] LIANG Bin;JIANG Zhiyong;LUO Xianke;ZHANG Qifang;YANG Yuejun;HE Kajie;LU Dongcheng;HU Bangli;JIANG Haixing(Department of Gastroenterology,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China;Department of Gastroenterology,The People′s Hospital of Guigang City,Guigang 537199,Guangxi,China;Department of Gastroenterology,Minzu Hospital of Guangxi Zhuang Autonomous Region,Nanning 530001,Guangxi,China;Department of Gastroenterology,Nanxishan Hospital of Guangxi Zhuang Autonomous Region,Guilin 541002,Guangxi,China;Department of Gastroenterology,Gongren Hospital of Wuzhou City,Wuzhou 543099,Guangxi,China;Department of Gastroenterology,Beihai People′s Hospital,Beihai 536006,Guangxi,China;Department of Oncology Research,Guangxi Medical University Cancer Hospital,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学第一附属医院消化内科,广西南宁市530021 [2]贵港市人民医院消化内科,广西贵港市537199 [3]广西壮族自治区民族医院消化内科,广西南宁市530001 [4]广西壮族自治区南溪山医院消化内科,广西桂林市541002 [5]梧州市工人医院消化内科,广西梧州市543099 [6]北海市人民医院消化内科,广西北海市536006 [7]广西医科大学附属肿瘤医院实验研究部,广西南宁市530021

出　　处：《微创医学》2022年第3期272-276,281,共6页Journal of Minimally Invasive Medicine

基　　金：国家自然科学基金(编号:82160446);广西重点研发计划(编号:桂科AB1850007)。

摘　　要：目的分析广西地区6家医院结肠镜下结直肠癌的检出率情况。方法收集2019年6月至2021年6月在广西5个地区6家三甲医院行结肠镜检查者的资料,根据不同年份、性别、年龄和医院进行分层,分别计算结肠镜下结直肠癌的检出率。结果共收集61786例行结肠镜检查者的资料,结直肠癌的总检出率为2.81%。与2019年、2021年相比,2020年结直肠癌的检出率最高(P<0.05);男性的结直肠癌检出率显著高于女性(P<0.05);不同年龄段结直肠癌检出率差异有统计学意义(P<0.05);北海市人民医院的结直肠癌检出率高于其他5家医院(P<0.05)。男性的结肠癌检出率、直肠癌检出率均高于女性(均P<0.05),北海市人民医院结肠癌检出率、直肠癌检出率均高于其他医院(均P<0.05);男性和女性结肠癌检出率均高于直肠癌检出率,30~79岁人群结肠癌检出率高于直肠癌检出率(均P<0.05)。结论广西地区结肠镜下结直肠癌的检出率为2.81%,不同年份、性别、年龄、医院之间结直肠癌的检出率存在差异,结肠癌检出率总体高于直肠癌。Objective To analyze the detection rate of colorectal cancer by colonoscopy in 6 hospitals in Guangxi areas.Methods Data of individuals who went to the 6 grade-A tertiary hospitals in 5 Guangxi areas for colonoscopy from June 2019 to June 2021 were collected.The individuals were stratified and the detection rate of colorectal cancer by colonoscopy was calculated according to the year of their examination,their gender and age,and the hospitals where they were examined.Results A total of 61786 colonoscopy examinees′data were collected,and the total detection rate of colorectal cancer was 2.81%.Compared with those in 2019 and 2021,the detection rate of colorectal cancer in 2020 was the highest(P<0.05).Male detection rate of colorectal cancer was significantly higher than female(P<0.05).There was a statistically significant difference in the detection rate of colorectal cancer in different age groups(P<0.05).The detection rate of colorectal cancer in Beihai People′s Hospital was higher than that in the other 5 hospitals(P<0.05).Male owned higher detection rates of colon cancer and rectum cancer than female(all P<0.05).The detection rates of colon cancer and rectum cancer in Beihai People′s Hospital surpassed the others(all P<0.05).In male,female,and the 30-79-year-old population,colon cancer detection rate was higher than rectum cancer(all P<0.05).Conclusion The detection rate of colorectal cancer by colonoscopy in Guangxi areas is 2.81%.Differences were found in the detection rate of colorectal cancer in different years,individuals with different genders and ages,and different hospitals.And generally,colon cancer detection rate is higher than rectum cancer.

关 键 词：结直肠癌 结肠镜 检出率 广西 

分 类 号：R735.34[医药卫生—肿瘤]