重庆南岸城市结直肠癌高危人群结肠镜筛查分析

发布时间：2018-02-01 05:56

本文关键词： 重庆南岸结直肠癌城市高危人群结肠镜筛查　出处：《重庆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:了解分析重庆南岸城市结直肠癌高危人群结肠镜筛查结果,阳性病变情况,为社区健康指导提供依据。方法:整理研究于2013-2016年期间根据《中国城市癌症早诊早治》项目筛查出的结直肠癌高危人群并到重庆市第五人民医院消化内镜中心完成结肠镜筛查的受检者,分析各种病变阳性率。结果:共计纳入435例受检者,发现阳性病例141例,总体阳性率32.41%(141/435),其中男性阳性病例75例,阳性率47.47%(75/158),女性阳性病例66例,阳性率23.83%(66/277),息肉检出率为28.74%(125/435),肿瘤性病变检出率为7.76%(33/425),腺癌检出率为0.46%(2/435);男性总体阳性检出率高于女性(χ2=25.669349,P0.01)。结论:由社区初筛出高危人群再行结肠镜检查的序贯筛查方式对于肠道病变的发现有重要意义。
[Abstract]:Objective: to analyze the results of colonoscopy screening and the positive lesions in the high-risk population of colorectal cancer in Nanan city of Chongqing. Provide the basis for community health guidance. Methods:. A study was conducted on the high-risk population of colorectal cancer screened during 2013-2016 according to "early diagnosis and early treatment of urban cancer in China" and completed colonoscopy screening at the Digestive Endoscopy Center of Chongqing 5th people's Hospital. The subject. Results: a total of 435 patients were included in the study. 141 cases were found to be positive, and the overall positive rate was 32.41 / 141 / 435%, among which 75 cases were positive in males. The positive rate was 47.47% and 75% / 158%, 66 cases were positive in women, the positive rate was 23.83%, and the detection rate of polyps was 28.7475 / 435). The detection rate of tumor lesions was 7.76 / 425, and that of adenocarcinoma was 0.46 / 435. The positive rate of males was higher than that of females (蠂 2: 25.669349). Conclusion: the sequential screening method of colonoscopy for high risk population is of great significance for the discovery of intestinal lesions.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.34

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