数字胃肠机在食管癌门诊机会性筛查中的应用

发布时间：2018-01-27 07:17

  本文关键词： 食管肿瘤 机会性筛查 数字胃肠机 放射摄影术 武威　出处：《中华肿瘤防治杂志》2015年13期 　论文类型：期刊论文

【摘要】：目的探讨数字胃肠机在食管癌门诊机会性筛查中的应用价值。方法在甘肃省武威肿瘤医院2011-01-01-2013-10-31门诊就诊的人群中进行食管癌筛查,所有接受筛查者在检查前签署知情同意书,按筛查流程进行癌症防治知识和食管癌危险因素流行病学调查,详细询问病史及一般体格检查。采用大平板数字胃肠机(德国西门子AXIOM luminos dRF)气钡双重造影,发现食管有病变者均相对应地行内镜检查,最终确诊均以病理组织学为依据。结果共用数字胃肠机检查2 599人,其中男1 747人,女852人;40~69岁2 058人,占受检人数的79.18%。检出食管癌165例,检出率为6.35%。早期食管癌4例(2.42%),中晚期食管癌161例(97.58%)。其中男129例,检出率为7.38%;女36例,检出率为4.23%。男女性检出率差异有统计学意义,χ2=9.61,P0.01。食管癌数字胃肠造影检查与病理诊断比较,灵敏度为98.19%,特异度为99.68%。年龄组检出率有随年龄的增长而升高的趋势,55~80岁组占总检出人数的93.94%。结论数字胃肠造影机会性筛查较之自然人群筛查,食管癌检出率高,是食管癌筛查的有效手段,作为食管癌的初筛方法具有可行性。≥55岁的人群应为食管癌防治的重点。
[Abstract]:Objective to explore the application value of digital gastrointestinal machine in the screening of esophageal cancer outpatient. Methods it was carried out in the outpatient population of Wuwei Cancer Hospital, Gansu Province, 2011-01-01-2013-10-31. Esophageal cancer screening. According to the screening procedure, all the screening participants signed an informed consent form and carried out an epidemiological survey of cancer prevention and control knowledge and the risk factors of esophageal cancer. The history and general physical examination were inquired in detail. Barium double radiography was performed with AXIOM luminos dRFs. It was found that the patients with esophageal lesions were examined by endoscopy, and the final diagnosis was based on histopathology. Results 2 599 patients were examined by digital gastrointestinal machine, including 1 747 males and 852 females. 4069 years old 2058 people, accounting for 79.18. 165 cases of esophageal cancer were detected, the detection rate was 6.35%. Early esophageal carcinoma 4 cases (2.42%). 161 cases of advanced esophageal carcinoma, including 129 cases of male, the detection rate was 7.38%; 36 cases were female, the detection rate was 4.23.The difference between male and female was statistically significant (蠂 ~ 2 / 9.61 / P0.01.Compared with pathological diagnosis of esophageal carcinoma, digital gastrointestinal angiography). The sensitivity was 98.19 and the specificity was 99.68.The detection rate in the age group increased with the increase of age. Conclusion compared with the natural population, the detection rate of esophageal cancer is higher in the group of 5580 years old than that in the natural population, which is an effective means of esophageal cancer screening. As a primary screening method for esophageal cancer, the prevention and treatment of esophageal cancer should be emphasized in the population of 鈮，

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