摘要
目的探讨年龄和下消化道报警症状预测大肠恶性肿瘤的价值。方法选择2013年1月1日-2015年6月30日因肠道症状在惠州市第一人民医院门诊就诊并在内镜中心完成肠镜检查的患者,统计患者的年龄、下消化道报警症状(便血、贫血、消瘦、大便变细、腹部包块、肠梗阻)并对其进行分析。结果 5 240例患者接受肠镜检查,其中检出大肠恶性肿瘤患者共408例,占7.8%;大肠恶性肿瘤组的年龄及便血、消瘦、贫血、腹部包块的发生率均较非恶性肿瘤组高,差异有统计学意义(P<0.05);大肠恶性肿瘤组患者随年龄增大报警症状发生率增高,其中≥50岁患者报警症状发生率较非恶性肿瘤组明显升高,差异有统计学意义(P<0.05);报警症状对大肠恶性肿瘤诊断的敏感性为2.9%~56.7%,特异性为71.4%~99.6%,其中便血的敏感性最高,腹部包块的特异性最高。结论报警症状诊断大肠恶性肿瘤的敏感性均不高,但特异性均较高,对年龄较大和出现报警症状的患者应重视筛查大肠恶性肿瘤,及时行结肠镜检查。
Objective To investigate the value of age and warning symptoms of lower digestive tract in predicting the colorectal neoplasms. Methods The patients who visited in outpatients and completed enteroscopy in First People＇s Hospital of Huizhou from Jan. 1st,2013 to Jun. 30 th,2015 were collected. The age and warning symptoms of lower digestive tract（ including hematochezia,anemia,emaciation,stool thinning,abdominal mass,ileus） were analyzed. Results Four hundred and eight cases of colorectal neoplasms were found in 5 240 patients undergoing endoscopy（7. 8%）. Compared with the non-colorectal neoplasms group in colonoscopy,the age and the incidence of the hematochezia,anemia,emaciation,abdominal mass were higher in colorectal neoplasms group（ P〈0. 05）. Incidence of warning symptoms was increased with age in the colorectal neoplasms group,further,it was significantly elevated in the patients over 50 years old compared with the non-colorectal neoplasms group（ P〈0. 05）. The sensitivity of the warning symptoms for diagnosis of colorectal neoplasms were form 2. 9% to 56. 7%,71. 4% to 99. 6% in specificity,the hematochezia had the highest sensitivity,meanwhile the abdominal mass had the highest specificity. Conclusion The specificity of the warning signs for diagnosis of colorectal neoplasms is high,but the sensitivity is not high. For people over 50 years old and warning symptoms,they should take an colonoscopy check as a health screening in time.
出处
《胃肠病学和肝病学杂志》
CAS
2017年第2期155-157,共3页
Chinese Journal of Gastroenterology and Hepatology
基金
惠州市科技计划项目(2014Y053)
关键词
报警症状
年龄
大肠恶性肿瘤
Warning symptoms
Age
Colorectal neoplasms
