结直肠癌内镜检出率及早诊筛查临床研究

Clinical Research on the Endoscopic Detection Rate and Early Screening of Colorectal Cancer

目的探讨结直肠癌内镜检出率以及粪便潜血试验、直肠指检、结肠镜检查与色素内镜检查、肿瘤标记物检查在结直肠癌筛查中的价值.方法回顾性分析214例结直肠镜检查患者诊治资料,对所有患者从临床、内镜表现及病理学三方面进行回顾性分析.结果结直肠癌发病率青年组为34.48%;中年组为59.09%;老年组为43.39%,中年组发病率较高,为结直肠癌的主要发病人群.结论在筛选直肠癌患者时联合粪便隐血试验、直肠指检、结肠镜检查与色素内镜检查能提高筛选的准确性,为直肠癌的早诊断和早治疗奠定基础.

Objective To investigate the endoscopic detection rate of colorectal cancer,and to explore the values of several methods in the screening of colorectal cancer,including fecal occult blood test,digital rectal examination,colonoscopy,staining endoscopy examination and tumor marker determination.Method A retrospective analysis on 214 patients accepted colorectal endoscopy was carried out.All patients were analyzed retrospectively from clinical,endoscopic and pathologic features,respectively.Results The incidences of colorectal cancer in the youth group,middle-aged group and older group were 34.48%,59.09% and 43.39%,respectively.Colorectal cancer was more common among middle-aged people,which had the highest morbidity.Conclusion The combined use of fecal occult blood test,digital rectal examination,colonoscopy and staining endoscopy examination can improve the relevance and accuracy of screening,and lay foundation for the early diagnosis and early treatment of colorectal cancer.