摘要
目的探讨粪便隐血试验及结肠镜检查作为大肠癌筛查主要方式的临床价值。方法 2007～2009年对沙湾地区无症状及有下消化道症状自愿体检的患者,先行大便隐血试验阳性者进行结肠镜检查,对检查结果进行分析。结果≥40岁受检者共413例,粪便隐血试验阳性者69例,阳性率16.71%,共24例发现了58枚结肠息肉,包括腺瘤性息肉38枚,炎性息肉8枚,增生性息肉12枚;发现结肠癌13例,直肠癌5例,恶性淋巴瘤1例。<40岁自愿体检者94例,粪便隐血试验阳性者6例,阳性率6.38%,3例患者发现了4枚结肠息肉,包括腺瘤性息肉1枚,炎性息肉2枚,增生性息肉1枚;发现直肠癌1例。结论对无症状自愿体检患者进行粪便及结肠镜检查能较早发现大肠息肉,对大便隐血试验阳性患者行全结肠镜检查更适合于对基层广大农牧民结直肠癌的筛查。
Objective To explore the clinical value of stool occult blood（OB） test and colonscopy in screening of colorectal cancer.Methods Colonscopy were performed to volunteers with or without lower digestive tract symptoms which were positive in OB test.Results The positive rate of OB test was 16.71% in people older than 40 years old.24 cases were found 58 colon polyps,including adenomatous polyps 38 pieces,inflammatory polyps 8 pieces,hyperplastic polyp 12 pieces,colon cancer 13 cases,rectal caner 5 cases,malignant lymphoma 1 case.The positive rate of OB test was 6.38% in people under 40 years old.3 cases were found 4 color polyps,including adenomatons polyps 1 case,inflammary polyps 2 cases,hyperplastic polyp 1 piece,recatal cancer 1 case.Conclusion Stool OB test and colonoscopy could early find colonic polyps in volunteers.It was suitable for the screening of colorectal cancer in grossroots.
出处
《临床消化病杂志》
2011年第6期359-361,共3页
Chinese Journal of Clinical Gastroenterology
关键词
大肠肿瘤
筛查
潜血
结肠镜检查
Colon cancer
Screening
Occult blood
Colonoscopy
