ikkhksvu 发表于 2024-6-25 07:43:53

哪些人容易得肠癌?


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/N5O47BNIvzab1jeeImyZMMlh2Lx5BTNibbvDEmfcoiasic02GGWdicElVK1cEZVP6zWaukp56IAqwQSD66fCGPZYrg/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">那些</span>人容易得肠癌?</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">①</span><span style="color: black;">直肠癌高发区的成人:在直肠癌高发区欧美国家,约80%的病人发病年龄超过55岁,<span style="color: black;">因此呢</span>,有学者将45岁以上(估计<span style="color: black;">隐藏</span>期10年)的成人<span style="color: black;">做为</span>结直肠癌的高危人群。我国结直肠癌发病中位年龄为45岁<span style="color: black;">上下</span>,故我国结直肠癌高危人群可定为35岁。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">②</span><span style="color: black;">结直肠腺瘤<span style="color: black;">病人</span>:许多<span style="color: black;">科研</span><span style="color: black;">显示</span>,有腺瘤的结直肠癌粘膜较<span style="color: black;">没</span>腺瘤的正常粘膜癌变的可能性高100倍,而结直肠腺瘤<span style="color: black;">病人</span>在初次<span style="color: black;">发掘</span>腺瘤摘除后,有30%-50%的<span style="color: black;">病人</span>日后又将<span style="color: black;">出现</span>腺瘤,<span style="color: black;">因此呢</span>结直肠腺瘤<span style="color: black;">病人</span>在治疗后仍应严密随访。多发性家族性息肉为一类遗传性<span style="color: black;">疾患</span>,<span style="color: black;">大概</span>40%的后代可接受遗传,<span style="color: black;">通常</span>于8-10岁始<span style="color: black;">显现</span>多发性的结直肠腺瘤(大<span style="color: black;">都数</span>为管状腺瘤,个别为绒毛状腺瘤),20岁<span style="color: black;">上下</span>时,<span style="color: black;">全部</span>结直肠可布满数百个<span style="color: black;">体积</span>不一的腺瘤,如不积极治疗,40岁<span style="color: black;">上下</span>可<span style="color: black;">显现</span>癌变。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">③</span><span style="color: black;">以前患过结直肠癌者:<span style="color: black;">大概</span>2.5%-11%的结直肠癌<span style="color: black;">病人</span>根治术后可再患原发性结直肠癌。<span style="color: black;">因此呢</span>,结直肠癌<span style="color: black;">病人</span>根治术后还应<span style="color: black;">做为</span>高危人群随访观察。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">④</span><span style="color: black;">血吸虫病<span style="color: black;">病人</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">⑤</span><span style="color: black;">盆腔接受过放射线治疗者:国外有学者报告宫颈癌放射治疗后,直肠癌发病率比<span style="color: black;">通常</span>人群高4倍,<span style="color: black;">因此</span>可能是高危人群。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">⑥</span><span style="color: black;">慢性溃疡性结</span><span style="color: black;">肠炎</span><span style="color: black;"><span style="color: black;">病人</span>:本病<span style="color: black;">出现</span>结直肠癌的可能性比正<span style="color: black;">一般人</span>高5-10倍,<span style="color: black;">重点</span>危及病变<span style="color: black;">连续</span>活动者,而一时性溃疡性结</span><span style="color: black;">肠炎</span><span style="color: black;"><span style="color: black;">病人</span>癌变危险同正<span style="color: black;">一般人</span>接近。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">⑦</span><span style="color: black;">结直肠癌<span style="color: black;">病人</span>的家庭成员:<span style="color: black;">海量</span><span style="color: black;">科研</span><span style="color: black;">发掘</span>,结直肠癌病人家庭成员的结直肠癌发病率高于对照组3倍<span style="color: black;">上下</span>,统计分析<span style="color: black;">显示</span>这<span style="color: black;">重点</span>是与<span style="color: black;">一起</span>的<span style="color: black;">膳食</span>结构<span style="color: black;">相关</span>,而与遗传关系不<span style="color: black;">显著</span>。<span style="color: black;">另一</span>,石棉工人、有</span><span style="color: black;">乳腺癌</span><span style="color: black;">病史等<span style="color: black;">亦</span>应<span style="color: black;">重视</span>患结直肠癌的可能性。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">另一</span>,<span style="color: black;">经过</span><span style="color: black;">近期</span>两年我诊治过的病人来看,大肠癌有越来越<span style="color: black;">青年</span>化的趋势,最小的16岁,20岁出头的<span style="color: black;">亦</span>不少,可能于熬夜、<span style="color: black;">爱好</span>吃宵夜、压力大、生活不规律<span style="color: black;">相关</span>,值得<span style="color: black;">大众</span><span style="color: black;">注意</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">温馨提示:(长按并识别)关注普外科公众号,获取</span><span style="color: black;"><span style="color: black;">更加多</span>医学知识,并随时与专家沟通:</span></span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/N5O47BNIvzbt1eq3QA7g1icUPRoxjYLuvpTApC00sZialD5FQfy0KEhDyosR0vLVOmNZu1joTpQibticjySdDk51qg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>




7wu1wm0 发表于 2024-10-7 03:55:45

这夸赞甜到心里,让我感觉温暖无比。

nqkk58 发表于 2024-10-16 15:29:42

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nqkk58 发表于 2024-10-19 10:59:07

我深受你的启发,你的话语是我前进的动力。
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