| 应用纤维结肠镜进行直肠乙状结肠癌普查的探讨(附4219例分析) |
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| 引用本文： | 周殿元,冯福才,杨利生,张子其.应用纤维结肠镜进行直肠乙状结肠癌普查的探讨(附4219例分析)[J].解放军医学杂志,1988(2). |
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| 作者姓名： | 周殿元 冯福才 杨利生 张子其 |
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| 作者单位： | 第一军医大学南方医院消化科
(周殿元，冯福才，杨利生)，第一军医大学南方医院消化科(张子其) |
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| 摘 要： | 在4219人普查中,共检出大肠癌5例(0.1％),其中Dukse A期早期癌2例、B期癌2例、C期癌1例。检出大肠息肉160例(3.8％),其中腺瘤86例,有3例重度不典型增生。所有息肉均经内镜切除。作者意见:小组人群可直接用纤维结肠镜普查;大组人群普查最好先经隐血试验初筛,阳性者及阴性的高危人群再做纤维结肠镜检查。术前不进行饮食准备,清洗肠道提倡用开塞露灌肠。
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| 关 键 词： | 大肠癌普查 高危人群 粪隐血试验 纤维乙状结肠镜 |
SCREENING FOR COLORECTAL CANCER BY FIBEROPTIC SIGMOIDOSCOPY ANALYSIS OF 4219 CASES |
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| Zhou Dianyuan,et al..SCREENING FOR COLORECTAL CANCER BY FIBEROPTIC SIGMOIDOSCOPY ANALYSIS OF 4219 CASES[J].Medical Journal of Chinese People's Liberation Army,1988(2). |
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| Authors: | Zhou Dianyuan |
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| Institution: | Zhou Dianyuan,et al. Department of Gastroenterology,Nanfang Hospital,First Military Medical College,Guangzhou |
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| Abstract: | 4219 subjects were screened for colorectal cancer by fiberoptic sigmoidoscopy.5 subjects(0.12%)werc found to have cancers: 2 Dukes A, 2 Dukes B, and 1 Dukes C. One or more polyps in 160 subjects (3.79%) were detected, of which 86 were adenomas and 3 severe dysplasia. All the polyps were removed by means of endoscopic polypectomy.For selected screening in small population,fiberoptic sigmoi-doscopy is recommended. As for mass screening, it is advisable to run fecal occult blood test (FOBT) first. All persons with positive FOBT or negative FOBT but belonging to high-risk category should be advised to have fiberoptic sigmoidoscopy. Special diet is unnecessary prior to sigmoidoscopy. Glycerol enema is recomended for bowel preparation. |
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| Keywords: | Colorectal cancer screening Subjects at high-risk Fecal occult blood test Fiberoptic sigmoidoscopy |
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