Hahn D L
Dean Medical Center, Arcand Park Clinic, Madison, WI 53704.
J Am Board Fam Pract. 1989 Jan-Mar;2(1):25-9.
Sigmoidoscopic screening for bowel cancer is controversial because of its debatable efficacy, lack of patient and physician acceptance of the procedure, and uncertainty about its practicality with the large numbers of patients in primary care settings. This study addressed patient acceptance and practicality. During an 18-month period, 75 percent of all patients aged 50 years and greater who were seen for health maintenance accepted sigmoidoscopy. The procedure was integrated into office routines without disrupting other patient care. While compliance with fecal occult blood testing was high (88 percent), sensitivity of this test for neoplastic polyps within reach of the proctosigmoidoscope was low (11 percent). These results suggest that acceptance of sigmoidoscopy by patients seen in family physicians' offices could be greater than has been anticipated.
由于乙状结肠镜检查在肠癌筛查中的疗效存在争议、患者和医生对该检查的接受度较低，以及在初级保健机构中对大量患者进行检查时其实际可行性存在不确定性，因此乙状结肠镜检查用于肠癌筛查存在争议。本研究探讨了患者的接受度和实际可行性。在为期18个月的时间里，所有因健康维护前来就诊的50岁及以上患者中，75%接受了乙状结肠镜检查。该检查被纳入门诊常规流程，且未干扰其他患者护理。虽然粪便潜血试验的依从性很高（88%），但该试验对乙状结肠镜可及范围内的肿瘤性息肉的敏感性较低（11%）。这些结果表明，在家庭医生办公室就诊的患者对乙状结肠镜检查的接受度可能高于预期。
