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中华结直肠疾病电子杂志 ›› 2014, Vol. 03 ›› Issue (06) : 459 -463. doi: 10.3877/cma.j.issn.2095-3224.2014.06.09

所属专题: 经典病例 文献

论著

结肠镜筛查203例无症状人群结直肠癌及腺瘤检出率分析
张进文1, 谭少华2, 徐义祥1, 周伟文2, 余汉濠1,()   
  1. 1. 000853 澳门,镜湖医院消化科
    2. 000853 澳门,镜湖医院体检中心
  • 收稿日期:2014-12-15 出版日期:2014-12-25
  • 通信作者: 余汉濠

Results of colorectal neoplasm screening among 203 asymptomatic persons by colonoscopy

Jin-wen ZHANG1, Shao-hua TAN2, Yi-xiang XU1, Wei-wen ZHOU2, Han-hao XU1,()   

  1. 1. Department of Gastroenterology, Kiang Wu Hospital, Macao 000853, China
  • Received:2014-12-15 Published:2014-12-25
  • Corresponding author: Han-hao XU
  • About author:
    Corresponding author: XU Han-hao, Email:
引用本文:

张进文, 谭少华, 徐义祥, 周伟文, 余汉濠. 结肠镜筛查203例无症状人群结直肠癌及腺瘤检出率分析[J/OL]. 中华结直肠疾病电子杂志, 2014, 03(06): 459-463.

Jin-wen ZHANG, Shao-hua TAN, Yi-xiang XU, Wei-wen ZHOU, Han-hao XU. Results of colorectal neoplasm screening among 203 asymptomatic persons by colonoscopy[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2014, 03(06): 459-463.

目的

了解澳门无症状人群通过肠镜筛查的结直肠癌及腺瘤检出率及其临床特征。

方法

选择2012年1月至12月于我院进行肠镜检查的无症状人群203例,回顾性分析其临床特征和病理活检结果,并分析肠癌及腺瘤患者的高危因素。

结果

203例受检者中检出结肠癌3例(1.48%),腺瘤70例(34.48%),其中高危腺瘤30例(14.78%)。60岁以上受检者腺瘤检出率高于50岁以下受检者(P=0.013),有吸烟史人群高危腺瘤检出率高于无吸烟史者(P=0.037)。

结论

对无症状人群的全结肠镜筛查有助于早期发现肠癌及腺瘤。年龄大于60岁是结肠腺瘤的高危因素,吸烟史是结肠高危腺瘤的高危因素。

Objective

To evaluate the incidence of colorectalcancer and adenoma in colonoscopy screening among local healthy persons and analysis their clinical character.

Methods

Between January and December of 2012, 203 asymptomaticindividual underwent complete colonoscopy in our center.Their report and clinical character were analyzed to identify high risk factor of colorectal neoplasm.

Results

3 cases(1.48%)of colorectal cancer, and 70 cases(34.48%)of adenoma were diagnosed.30 of them had high grade adenomas.People older than 60s(p=0.013)and smokers(p=0.037)have a higher incidence of colorectal neoplasm.

Conclusions

The incidence of adenocarcinoma and adenoma among these 203 personsare 1.48% and 34.48%, respectively.People elder than 60 and smokers have a higher incidence.

表1 受检者基本特征情况表
表2 受检者肠癌、腺瘤及非肿瘤性息肉检出率表
表3 受检者腺瘤在结肠各部位分布情况表
表4 受检者不同年龄层人群腺瘤检出率比较表
表5 受检者中吸烟组与无吸烟组腺瘤检出率比较表
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