CT虚拟结肠镜ppt参考课件.ppt

危险度因子- 息肉 分类 异常增生 较小癌变可能 腺瘤样 大约90%结肠直肠癌由腺瘤样息肉发展而来 * 结肠腺瘤进展 小腺瘤 5mm 异常增殖 进展性结肠腺瘤 10mm 癌 10 yrs 大多数是增生改变 通常不会发展为癌症 * 筛查的优势 预防癌症 切除癌前病变（恶性息肉）防止癌症发生 提高生存率 早期检测显著增加长期生存机会 * 筛查的优势 * 结肠直肠癌筛查率 只有40%的结肠直肠癌在早期阶段发现 近一半多一点的超过50岁的美国人有进行近期的结肠直肠癌筛查。 *varies based on data source * 近年来光学直肠镜检查的普及率 (%)的趋势, 大于50岁的美国人, 1997-2004 *A flexible sigmoidoscopy or colonoscopy within the past five years. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System CD-ROM (1996-1997, 1999) and Public Use Data Tape (2001, 2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention and Prevention, 1999, 2000, 2002, 2003, 2005. * 近年来粪便潜血试验的普及率 (%)的趋势, 大于50岁的美国人, 1997-2004 *A fecal occult blood test within the past year. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System CD-ROM (1996-1997, 1999) and Public Use Data Tape (2001, 2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention and Prevention, 1999, 2000, 2002, 2003, 2005. * 结肠直肠癌筛查率低:原因 (依照患者的说法) 对结肠直肠癌不重视 缺乏对结肠直肠癌筛查好处的了解 害怕, 难为情, 不舒服 没时间 费用高 “我医生从来没跟我提到过!” * The 2008 CRC Guidelines Update was a Joint Effort of 5 Organizations American Cancer Society U. S. Multi-Society Task Force on Colorectal Cancer American Gastroenterological Association American College of Gastroenterology American Society of Gastrointestinal Endoscopists American College of Radiology * CRC Screening Guidelines: What Else is New? Two new tests recommended: stool DNA (sDNA) and computerized tomographic colonography (CTC) – sometimes referred to as virtual colonoscopy The guidelines: establish a sensitivity threshold for recommended tests delineate important quality-related factors for each form of