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结直肠癌发病率及解剖部位变化趋势
http://www.100md.com 2003年7月15日 《世界华人消化杂志》 2003年第7期
     谢正勇,卿三华, 中国人民解放军第一军医大学附属南方医院普外科广东省广州市 510515

    项目负责人: 卿三华,510515,广东省广州市南方医院普外科,中国人民解放军第一军医大学附属南方医院普外科. sanhuaq@yahoo.com

    电话:020-61641696 传真:020-87280340

    收稿日期:2002-12-24 接受日期:2003-01-03

    摘要对结直肠癌发病率及解剖部位分布变化趋势进行研究,有利于探索病因及制定合理防治策略.息肉切除术的广泛应用,使西方国家CRC发病率呈下降趋势;而西方化的生活方式和饮食习惯则使得原来低发的许多国家CRC发病率上升.CRC高发国家以结肠癌为主,低发国家则以直肠癌占优势.近年许多学者发现CRC肿瘤部位分布由远端向近端转移,并认为这与远端结直肠癌发病率下降致近端结肠癌所占比例上升有关.年龄、性别、种族、共病等多种因素可影响CRC的解剖部位:老年、女性、黑人、患有糖尿病等共病、有阳性家族史等是CRC分布于近端结肠的高危因素.近端结肠癌预后不良,尤应注意早期诊治,改善预后.
, 百拇医药
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