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371例结直肠息肉患者临床特征及其与粪便隐血和血CEA之间的关系

冯怡锟 任景丽 蒋玉涵 刘维伟 胡桂明 吴会芳 王亚楠 卢高峰 崔静 常佳

重庆医学2018,Vol.47Issue(9):1183-1185,3.
重庆医学2018,Vol.47Issue(9):1183-1185,3.DOI:10.3969/j.issn.1671-8348.2018.09.010

371例结直肠息肉患者临床特征及其与粪便隐血和血CEA之间的关系

Relationship between clinical features in 371 cases of colorectal polyps with fecal occult blood and CEA

冯怡锟 1任景丽 1蒋玉涵 1刘维伟 2胡桂明 1吴会芳 1王亚楠 3卢高峰 3崔静 3常佳1

作者信息

  • 1. 郑州大学第二附属医院病理科,郑州450014
  • 2. 河北陆军通信训练基地医院门诊部,河北张家口075100
  • 3. 郑州大学第二附属医院消化内科,郑州450014
  • 折叠

摘要

Abstract

Objective To investigate the basic clinical features in 371 cases of colorectal polyps and its relationship with fecal occult blood and carcinoembryonic antigen(CEA).Methods The retrospective analysis was performed on 371 inpatients with colo-rectal polyps.The relationship among gender,number of polyps and polyps anatomical site in different ages of patients was investi-gated,and the relationship between fecal occult blood and CEA with polyp canceration was analyzed by 1.5?3.0 years follow-up. Results Among 371 cases of colorectal polyps,the female patients were gradually increased and single polyp was gradually de-creased along with the age increase;due to different ages,there was the statistically significant difference in the polyp locations (χ2 =9.759,P=0.045);the distribution difference of the patients with polyp canceration among three age groups was statistically significant(χ2 =5.138,4.107,13.153,P<0.05).The cases of fecal occult blood positive and CEA abnormal increase were gradual-ly increased with age increasing(χ2 =15.544,11.959,P<0.01);with the number of polyps increasing,the cases of fecal occult blood positive showed the increasing trend(χ2 =14.043,P=0.001);the canceration rate in colorectal polyp cases of fecal occult blood positive and CEA abnormal increase was significantly higher than that in the cases of fecal occult blood negative and CEA normal range(χ2 =40.165,43.249,all of P< 0.001).Conclusion The fecal occult blood test and CEA detection results have a certain significance to the follow up for preventing colorectal polyps canceration.

关键词

结肠息肉/粪便隐血/癌胚抗原

Key words

colonic polyps/fecal occult blood/carcinoembryonic antigen

分类

医药卫生

引用本文复制引用

冯怡锟,任景丽,蒋玉涵,刘维伟,胡桂明,吴会芳,王亚楠,卢高峰,崔静,常佳..371例结直肠息肉患者临床特征及其与粪便隐血和血CEA之间的关系[J].重庆医学,2018,47(9):1183-1185,3.

基金项目

河南省医学科技攻关普通项目(201503099). (201503099)

重庆医学

OACSTPCD

1671-8348

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