肛门隐血与肝胆胰腺癌普查的关系

The relationship between anal occult blood and hepatobiliary pancreatic carcinoma screening

目的:用棉棒涂抹肛门方法代替大便隐血试验,不仅可以初筛大肠癌,还可以作为初筛肝胆胰腺癌的辅助手段。方法:223例肝胆胰腺癌病人做肛门隐血试验,其中有121例呈阳性反应,阳性率为54.2％。在40～60岁健康人群中筛查14645人,511人肛门隐血呈阳性反应,阳性率为3.4％。结果:检出消化道癌6例(食管癌1例,贲门癌1例,胃癌2例,肝癌2例)。结论:提示肛门隐血阳性时,应进一步用超声波检查肝胆胰有无肿瘤。

Objective: Using cotton swab anal smear instead of stool occult blood test, not only can be a mass screening method for colorectal cancer, but an auxiliary way to screen hepatobiliary pancreatic carcinoma.Methods:223 cases of hepatobiliary pancreatic carcinoma patients received anal occult blood test, among them 121 were positive. The positive rate was 54.3% . Screening test was done in 14645 healthy people aged 40 to 60, 511 persons were positive for anal occult blood. The positive rate was 3.4%.Results:6 cases of digestive tract cancer were found (esophageal carcinoma 1, gastric cardia carcinoma 1, gastric carcinoma 2, liver carcinoma 2) . Conclusions: It suggests that when anal occult blood is positive, the patient should be scanned by ultrasonic means to rule out hep-atobiliary pancreatic tumor.