结肠镜检查和息肉切除术后监测指南的最新内容及相关研究进展  

Updates of colonoscopy surveillance guidelines after screening and polypectomy,and related research progress

作　　者：朱云峰[1] 朱应双 刘成成 胡烨婷[2] 丁克峰[2,3] Zhu Yunfeng;Zhu Yingshuang;Liu Chengcheng;Hu Yeting;Ding Kefeng(Chinese Medicine Hospital of Haining City,Haining Cancer Prevention and Treatment Research Institute,Haining 314400,China;Department of Colorectal Surgery and Oncology,Key Laboratory of Cancer Prevention and Intervention,Ministry of Education,the Second Affiliated Hospital,Zhejiang University School of Medicine Zhejiang Provincial Clinical Research Center for Cancer,Hangzhou 310009,China;Center for Medical Research and Innovation in Digestive System Tumors,Ministry of Education,Hangzhou 310058,China)

机构地区：[1]海宁市中医院、海宁市肿瘤防治研究所,海宁314400 [2]浙江大学医学院附属第二医院大肠外科、恶性肿瘤预警与干预教育部重点实验室、浙江省医学分子生物学重点实验室、浙江省恶性肿瘤临床医学研究中心,杭州310009 [3]消化系统医药基础研究创新中心(教育部),杭州310058

出　　处：《中华胃肠外科杂志》2024年第1期99-104,共6页Chinese Journal of Gastrointestinal Surgery

基　　金：国家自然科学基金(82103905);浙江省重点研发计划项目“领雁”计划(2023C03049);国家重点研发计划(2017YFC0908200);浙江省自然科学基金(Q23H260015);浙江省医药卫生科技计划项目(2024KY460);海宁市科技计划项目(2022032)。

摘　　要：随着结直肠癌筛查的不断普及,筛查后人群的监测管理也成为结直肠癌防控的关键环节之一。近年来,针对筛查后人群的结直肠癌发病和死亡风险的研究证据不断涌现,同时,欧美国家的相关行业协会基于最新的研究证据,陆续更新了结肠镜检查和息肉切除术后的结肠镜监测指南。本文全面总结了目前关于结直肠癌筛查后人群的结直肠癌风险相关研究进展以及相关指南更新要点,以期为指导我国相关研究的开展以及监测指南或共识的制定提供参考。With the widespread application of colorectal cancer screening,the surveillance and management of the increasing number of screened population has become a pivotal aspect in preventing and controlling colorectal cancer.In recent years,researches have been conducted on the risk of colorectal cancer incidence and mortality in the population after screening.At the same time,various organizations in Europe and the United States have continuously updated colonoscopy surveillance after screening and polypectomy based on the latest research evidence.In this review,we summarized the current progress of studies on colorectal cancer risk in post-screening colorectal cancer populations and the key points of relevant guideline updates,in order to provide a reference for conducting relevant studies and formulating surveillance guidelines or consensus in China.

关 键 词：结直肠癌筛查 腺瘤 锯齿状息肉 结肠镜监测 

分 类 号：R735.34[医药卫生—肿瘤]