通过结肠镜检直肠异常隐窝病灶筛查结直肠腺瘤的临床价值研究

The clinical value of rectal aberrant crypt foci in the diagnosis of colorectal adenoma

目的研究结肠镜检直肠异常隐窝病灶(aberrant crypt foci,ACF)对结直肠腺瘤的预警作用。方法根据患者有无直肠ACF分为ACF组(73例)和对照组(67例)。通过患者的结直肠腺瘤情况分析结肠镜检直肠ACF对于患者结直肠腺瘤的预警作用。结果 ACF组患者以非进展型腺瘤性息肉和结直肠腺癌为主。ACF组患者的满意度达94.5%,高于对照组的44.8%。患者ACF程度与结直肠腺瘤病情呈正比。结论结肠镜检直肠ACF可以有效预警结直肠癌,准确度高。

Objective To research the preparing effect of rectal aberrant crypt foci （ACF） on colorectal adenomas. Methods According to the patients with or without the rectum ACF, they were divided into ACF group （73 cases） and control group （67 cases）. Preparing effect of rectal ACF on co]orectal adcnomas were analyzed. Results Patients with ACF were more likely to develop non progressive adenomatous polyps and colorectal adenocarcinomas. The satisfaction of ACF group was 94.5% , much higher than the control group of 44.8%. The degree of ACF in colorectal adenoma patients was proportional to the disease. Conclusion Colonoseopy rectal aberrant crypt foci of colorectal cancer can be effective early warning.