本文選題：大腸癌　切入點(diǎn)：腸鏡　出處：《腫瘤防治研究》2017年12期

【摘要】：目的探討遵義醫(yī)學(xué)院附屬醫(yī)院內(nèi)鏡中心近10年來檢出的大腸癌發(fā)病情況、臨床表現(xiàn)、內(nèi)鏡及病理特點(diǎn),進(jìn)一步闡明本地區(qū)大腸癌流行病學(xué)特征和臨床特點(diǎn)。方法以我院2007—2016年來所有接受結(jié)腸鏡檢查的患者為研究對象,對大腸癌患病率、大腸癌患者性別、年齡、腫瘤部位、病理類型等進(jìn)行回顧性分析與總結(jié)。結(jié)果 10年間共行大腸鏡檢查51 732例,檢出大腸癌2 127例,占受檢總數(shù)4.11%。2 127例大腸癌中,男1 267例、女860例。發(fā)病高峰年齡段在50~79歲之間,尤其是60~69歲之間;結(jié)腸癌714例、直腸癌1 413例;病理分類以腺癌為主,尤其以高分化腺癌為主,與性別無明顯差異,但印戒細(xì)胞癌女性明顯多于男性,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論貴州省北部地區(qū)的大腸癌發(fā)病近年來呈逐漸上升趨勢,男性發(fā)病明顯多于女性,直腸癌是結(jié)腸癌發(fā)病的兩倍左右,病理類型上女性大腸癌患者要注意印戒細(xì)胞癌的發(fā)生。因此,預(yù)防上重點(diǎn)對高危人群進(jìn)行大腸癌普查、直腸指診和結(jié)腸鏡檢查,可以有效地提高大腸癌的早診早治率。
[Abstract]:Objective to investigate the incidence, clinical manifestations, endoscopic and pathological features of colorectal cancer in the endoscopic center of affiliated hospital of Zunyi Medical College in recent 10 years, and to further elucidate the epidemiological and clinical characteristics of colorectal cancer in this area.Methods all the patients underwent colonoscopy in our hospital from 2007 to 2016 were studied. The prevalence of colorectal cancer, sex, age, tumor location and pathological type of colorectal cancer patients were retrospectively analyzed and summarized.Results A total of 51,732 cases of colorectal cancer were examined during the past 10 years, 2127 cases of colorectal cancer were detected, accounting for 4.11.2 127 cases of colorectal cancer, among them 1 267 cases were males and 860 cases were females.The peak age of onset was between 50 to 79 years old, especially between 60 and 69 years, 714 cases of colon cancer and 1 413 cases of rectal cancer.However, the number of signet ring cell carcinoma in female was significantly higher than that in male, and the difference was statistically significant (P 0.05).Conclusion the incidence of colorectal cancer in the northern part of Guizhou Province is increasing gradually in recent years. The incidence of male colorectal cancer is more than that of female, and the incidence of rectal cancer is about twice as high as that of colon cancer. The pathological type of female colorectal cancer patients should pay attention to the occurrence of signet ring cell carcinoma.Therefore, the early diagnosis and treatment rate of colorectal cancer can be improved effectively by means of colorectal cancer screening, digital rectal examination and colonoscopy.
【作者單位】： 遵義醫(yī)學(xué)院附屬醫(yī)院消化內(nèi)科;
【分類號(hào)】：R735.34

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本文編號(hào)：1728656