结直肠癌诊治中的伦理问题研究  

Research on ethical issues in diagnosis and treatment of colorectal cancer

作　　者：张金子 尹梅[1] 张维帅[1] ZHANG Jinzi;YIN Mei;ZHANG Weishuai(School of Humanities and Social Sciences,Harbin Medical University,Harbin 150081,China)

机构地区：[1]哈尔滨医科大学人文社会科学学院,黑龙江哈尔滨150081

出　　处：《中国医学伦理学》2024年第2期199-203,共5页Chinese Medical Ethics

基　　金：四川医事卫生法治研究中心课题(编号:YF20-Y11)。

摘　　要：结直肠癌是常见的恶性肿瘤之一,中国结直肠癌的发病率和死亡率均保持上升趋势。作为一种高发性恶性肿瘤,在筛查、诊断以及治疗过程中,结直肠癌不仅具有与其他疾病类似的一般伦理问题,同时还存在自身疾病所特有的伦理问题,包括结直肠癌筛查与医保报销的可及性、问诊与查体中隐私暴露与医患关系物化、过度诊疗中的癌症细胞“杀”与“养”相平衡的问题,以及肠造口引发的患者生理与心理问题等内容。总结与分析了结直肠癌诊治中具有特殊性的伦理问题,并提出了相应的对策与建议。Colorectal cancer(CRC)is one of the common malignant tumors,and its incidence rate and mortality rate in China are rising.As a high-incidence malignant tumor,in the process of screening,diagnosis,and treatment,CRC not only has universal ethical issues similar to other diseases,but also has its unique ethical problems,including the accessibility of CRC screening and medical insurance reimbursement,privacy exposure and the materialization of doctor-patient relationship during consultation and physical examination,the balance between“killing”and“nurturing”of cancer cells in excessive diagnosis and treatment,as well as the physiological and psychological issues of patients caused by enterostomy.This paper summarized and analyzed the special ethical issues in the diagnosis and treatment of CRC,and proposed corresponding countermeasures and suggestions.

关 键 词：结直肠癌 临床伦理 肠造口 医患关系 

分 类 号：R-052[医药卫生]