Analysis in screening results of colorectal cancer dominated by anorectal specialty in 1 491 people
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摘要: 目的 分析肛肠专科主导的肠癌筛查模式的可行性及意义。 方法 选取2015年7月—2019年10月接受结直肠癌筛查的居民1 491例,均完成问卷调查、大便隐血试验、结肠镜检查和相关病理检查,分析相关检查结果。 结果 筛查发现高危人群肠镜检查肿瘤及息肉者699例,阳性率为46.90%, 年龄与发病率呈显著正相关(P<0.05), 男性发病率高于女性,差异有统计学意义(P<0.01)。本地区中老年人群肠癌发病率较高。 结论 肠息肉与癌的发病率在本筛查地区较高,且与年龄存在相关性。肠镜检查是结直肠癌筛查的重要方法,肠镜的舒适性及准确性对筛查结果影响较大。肛肠专科主导的筛查模式的依从性与质量较高,可行性强,但需要第三方的监督与评价。Abstract: Objective To analyze the feasibility and significance of screening mode of colorectal cancer dominated by anorectal specialty. Methods From July 2015 to October 2019, 1 491 residents with screening of colorectal cancer were selected, and all of them completed the questionnaire survey, fecal occult blood test, colonoscopy and related pathological examinations. The relevant inspection results were analyzed. Results Screening results revealed that there were 699 cases with high-risk colonoscopy and polyps, the positive rate was 46.90%, and age was positively correlated with incidence rate(P<0.05), and the incidence rate of male was significantly higher than that of females(P<0.01). The incidence rate of colorectal cancer was higher in the middle and old aged people in this area. Conclusion The incidence rate of intestinal polyps and cancer is higher in the screening area, and is correlated with age. Colonoscopy is an important method for screening of colorectal cancer, and the comfort and accuracy of colonoscopy have great influence on the screening results. The compliance, quality and feasibility of screening mode dominated by anorectal specialty are high. However, it still need the supervision and evaluation of the third party.
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Keywords:
- anorectal specialty /
- colorectal cancer /
- screening /
- polypus /
- colonoscopy
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