2014-2015年上海金山区社区居民大肠癌筛查结果分析

发布时间：2018-06-13 04:25

本文选题：肿瘤 + 多相筛查　；参考：《中华疾病控制杂志》2017年02期

【摘要】：目的通过对上海市金山区社区居民进行大肠癌筛查,探讨社区居民大肠癌筛查的效果,为探索大肠癌筛查策略提供参考。方法对上海市金山区常住居民进行大肠癌筛查。采用问卷调查结合粪便隐血试验(fecal occult blood test,FOBT)的两步筛查模式,初筛阳性者行全结肠镜检查,并对结果进行分析。结果完成初筛58 215人,初筛完成率99.07%,初筛阳性率25.44%,肠镜依从性41.87%,大肠癌检出率0.45%,腺瘤检出率46.40%,总病变检出率35.74%,男女间检出率差异有统计学意义(x~2=224.337,P0.001),随着年龄的增大,检出率不断上升,各年龄组间检出率差异有统计学意义(x~2=37.788,P0.001)。结论大肠癌筛查能有效地检出居民大肠癌及腺瘤等病变,对于大肠癌的早发现、早诊断、早治疗有重要意义。
[Abstract]:Objective to explore the effect of colorectal cancer screening for community residents in Jinshan district of Shanghai, and to provide reference for the strategy of colorectal cancer screening. Methods Colorectal cancer screening was performed in residents of Jinshan District, Shanghai. The two-step screening model of fecal occult blood test and fecal occult blood test was used. The positive patients were examined with total colonoscopy and the results were analyzed. Results 58,215 people were screened, the completion rate of primary screening was 99.07, the positive rate of primary screening was 25.4444, the compliance of colonoscopy was 41.87, the detection rate of colorectal cancer was 0.4545, the detection rate of adenoma was 46.40 and the detection rate of total lesion was 35.744.The difference between men and women was statistically significant with age. The detection rate was rising continuously, and the difference of detection rate among different age groups was statistically significant (P 0.001). Conclusion Colorectal cancer screening can effectively detect colorectal cancer and adenoma, which is of great significance for early detection, early diagnosis and early treatment of colorectal cancer.
【作者单位】：上海市金山区疾病预防控制中心慢性病防制科;
【基金】：上海市重大公共卫生服务项目(2011年)
【分类号】：R735.34

【相似文献】