摘要
目的分析广州市棠下社区结直肠癌筛查结果。方法 2015年5月~2016年12月对广州市棠下社区50~75岁常驻居民673例进行结直肠癌初筛。采用社区居民直肠癌筛查危险度分析表对危险度以及采用粪便潜血实验进行初筛。统计初筛阳性率,比较问卷评估与粪便潜血阳性的符合率。比较不同年龄段、性别初筛阳性率,分析既往史与粪便潜血阳性的关系,记录肠镜检查结果。结果初筛共有122例为高危结直肠癌,占18.13%。问卷评估法与粪便潜血阳性法阳性率差异有统计学意义(P<0.05);不同性别初筛阳性率比较差异无统计学意义(P>0.05);50~55岁段初筛高危结直肠癌阳性率显著低于其他年龄段,差异均有统计学意义(P<0.05)。慢性便秘史、粘液/血便史者粪便潜血阳性率显著升高,差异有统计学意义(P<0.05)。41例复查肠镜,其中19例查出异常,占46.34%,其中结直肠息肉/腺瘤18例,结直肠癌1例。结论结直肠癌初筛采用问卷评估结合粪便潜血实验能够减少漏诊率,对直结肠癌的早预防及早治疗具有重要意义。
Objective To analyze screening results of colorectal cancer in Tangxia community of （;uangzhou. Methods From May 2015 to Dec 2016,673 cases of 50-75 years old residents in Tangxia community of Guangzhou City were selected to receive cnlorectal cancerscreening.Screening was done with risk analysis scaleof rectal cancer screening among community residents and fecal occult blood test.Screening positive rate was recorded,and the coincidence rate of questionnaire and positive fecal occult blood was compared.The positive rates of different age and gender were compared.Relationship between past history and fecal occult blood positive rate was analyzed. Colonoscnpy results were recorded. Results A total of 122 patients were high risk colorectal cancer in preliminary screening,according for 18.13%.There were statistically significant differences between the positive rate of fecal occult blood positive assessment method with questionnaire method （P 〈 0.05）.There was no significant difference in the positive rate between different genders （P 〉 0.05）.The positive rate of screening high-risk colorectal cancer at 50- 55 years old was significantly lower than those of other age groups,and the differences were statistically significant （P 〈 0.05）.Chronic constipation,mucus / bloody history of fecal occult blood positive rate increased significantly （P 〈 0.05）.41 cases were reviewed, of which, 19 cases were abnormal, accounting for 46.34%.Among them,18 cases were colorectal polyps / adenoma,and 1 case was colorectal cancer. Conclusion Colorectal cancer screening using questionnaire combined with fecal occult blood tests can reduce the rate of misdiagnosis.It is significant in diagnosis of colorectal cancer.
出处
《中国医药科学》
2017年第18期191-193,共3页
China Medicine And Pharmacy
关键词
结直肠癌
筛查结果
便秘
粪便潜血
Colorectal cancer
Screening results
Constipation
Fecal occult blood
