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采用便隐血检测试纸Ⅱ型(Hemoccult II)和四甲基联苯胺试验在社区中筛查隐匿性粪便失血。

Screening for occult faecal blood loss in a community by means of Hemoccult II slides and a tetramethylbenzidine test.

作者信息

Dybdahl J H, Haug K, Bakkevold K, Olsen K O, Vetvik K

出版信息

Scand J Gastroenterol. 1984 May;19(3):343-9.

PMID:6740209
Abstract

A total of 754 persons statistically selected from the age group 54-64 years were asked by letter to provide faecal samples for screening of occult blood during dietary restrictions. A total of 413 persons (55%) returned an average of 5.8 (range, 1-6) faecal samples each. All the faecal specimens were analysed with Hemoccult II slides and the 3,3',5,5'-tetramethylbenzidine (TMB) test 0.10%. For technical reasons, however, the Hemoccult test could not be evaluated. The TMB test showed faecal blood in 50 persons. A case history was obtained in 49 persons, of whom 47 agreed to further clinical, radiological, and endoscopic investigations. The most important findings in these examinations were resectable colonic carcinoma (Dukes's stage B) in 1 subject, a gastric ulcer in 1, haemorrhagic gastritis in 1, duodenal ulcers in 2, and colorectal polyps in 11 persons. The cost of the study was estimated to be NOK 114,000 (about USD 16,000).

摘要

通过信函邀请从54至64岁年龄组中按统计学方法选取的754人,在饮食限制期间提供粪便样本以筛查潜血。共有413人(55%)回复,每人平均提供了5.8份(范围为1至6份)粪便样本。所有粪便标本均使用Hemoccult II载玻片和0.10%的3,3',5,5'-四甲基联苯胺(TMB)试验进行分析。然而,由于技术原因,无法对Hemoccult试验进行评估。TMB试验显示50人粪便潜血阳性。对其中49人进行了病史采集,其中47人同意进一步进行临床、放射学和内镜检查。这些检查中最重要的发现包括:1例可切除的结肠癌(杜克分期B期)、1例胃溃疡、1例出血性胃炎、2例十二指肠溃疡以及11例大肠息肉。该研究的成本估计为114,000挪威克朗(约合16,000美元)。

相似文献

1
Screening for occult faecal blood loss in a community by means of Hemoccult II slides and a tetramethylbenzidine test.采用便隐血检测试纸Ⅱ型(Hemoccult II)和四甲基联苯胺试验在社区中筛查隐匿性粪便失血。
Scand J Gastroenterol. 1984 May;19(3):343-9.
2
Occult faecal blood loss determined by a 51Cr method and chemical tests in patients referred for colonoscopy.通过51铬法和化学检测法对因结肠镜检查而转诊的患者进行隐匿性粪便失血测定。
Scand J Gastroenterol. 1984 Mar;19(2):245-54.
3
[Value of the study of occult fecal blood with Hemoccult II in 211 symptomatic patients controlled by total colonoscopy].[应用隐血试验Ⅱ对211例有症状患者进行潜血检查并经全结肠镜检查对照研究的价值]
Minerva Med. 1984 Apr 21;75(17):963-6.
4
Occult faecal blood loss determined by a 51Cr method and chemical tests in patients referred for upper gastrointestinal endoscopy.采用51铬法和化学检测法对因上消化道内镜检查而转诊的患者进行隐匿性粪便失血测定。
Scand J Gastroenterol. 1984 Mar;19(2):235-44.
5
Occult-blood screening for colorectal carcinoma: the risks.结直肠癌的潜血筛查:风险
Am J Prev Med. 1985 Jul-Aug;1(4):25-32.
6
Screening for gastrointestinal neoplasia: efficacy and cost of two different approaches in a clinical rehabilitation centre.胃肠道肿瘤筛查:临床康复中心两种不同方法的疗效与成本
Eur J Cancer Prev. 1996 Feb;5(1):49-55.
7
Fecal occult blood testing: clinical value and limitations.粪便潜血试验:临床价值与局限性
Gastroenterologist. 1998 Mar;6(1):66-78.
8
Occult-blood screening for colorectal carcinoma: the yield and the costs.结直肠癌的潜血筛查:收益与成本
Am J Prev Med. 1985 Sep-Oct;1(5):18-24.
9
Limitations of the faecal occult blood test in screening for colorectal cancer.粪便潜血试验在结直肠癌筛查中的局限性。
Ital J Gastroenterol Hepatol. 1999 Mar;31(2):119-26.
10
[Randomized population study of screening for intestinal cancer with Hemoccult-II].[使用隐血便检测Ⅱ型进行肠癌筛查的随机人群研究]
Ugeskr Laeger. 1997 Aug 11;159(33):4977-81.

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Appointments timed in proximity to annual milestones and compliance with screening: randomised controlled trial.接近年度里程碑的预约安排与筛查依从性:随机对照试验
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The pros and cons of fecal occult blood testing for colorectal neoplasms.粪便潜血检测用于结直肠肿瘤的利弊
Cancer Metastasis Rev. 1987;6(3):397-411. doi: 10.1007/BF00144272.
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Screening of colorectal cancer.结直肠癌筛查
Dig Dis Sci. 1986 Sep;31(9 Suppl):43S-56S. doi: 10.1007/BF01295989.