摘要
[目的 ] 探索城市区级医院开展大肠癌因症就诊早发现工作的成效。 [方法 ] 对 10 2 0例肛肠症状病人采用四项检查 (直肠指检、大便隐血试验、X线气钡双重造影和纤维结肠镜检查 )。 [结果 ] 共检出大肠癌 49例 ,检出率 4.8%。 49例中直肠癌 17例 (34 .7% ) ,结肠癌 32例 (6 5 .3% ) ,其中近侧结肠癌占全部结肠癌的 43.3%。大肠癌分期早期 (A期 )癌 13例 ,占 2 6 .5 %。早期癌位于远侧大肠 (直肠、乙结肠 ) 11例 (84.6 % ) ,位于近侧大肠 (升结肠和盲肠 ) 2例 (15 .4% )。 [结论 ] 随着上海市大肠癌发病趋向近侧大肠的变化 ,采用纤维结肠镜检查可提高近侧大肠癌的检出率。
Objective] To investigate the effectiveness of early detection of large intestinal cancer in symptomatic visits in a city district grade hospital. [Methods] 1020 patients with anorectocolonic symptoms were examined with four check-up sequences (rectal finger examination, fecal occult blood test, X-ray air-barium double contrast enema radiograph and total fibercolonoscopy).[Results] Forty-nine cases of large intestinal cancers were diagnosed, a detective rate of 4.8%. Of 49 cases, rectal cancers were found in 17 patients (of 34.7%)and colonic cancers in 32 patients (of 65.3%). Among them, proximal colonic cancers, accounted for 43.3% of all colonic cancers. Early stage (Dukes'A stage) cancers were revealed in 13 patients (26.5%). Of early stage cancers, 11cancers(84.6%)were located in distal large intestine (rectum and sigmoid colon), two lesions(15.4%) in proximal large intestine (ascending colon and cecum). [Conclusion] Along with the change that large intestinal cancers trends to locate in proximal large intestine in Shanghai, the detective rate of proximal colonic cancers may be raised by total fibercolonoscopy.
出处
《上海预防医学》
CAS
2000年第8期355-356,共2页
Shanghai Journal of Preventive Medicine
