赵丽中①, 张伟华①, 马东旺①, 李文①, 曹雅静①, 王宏磊①, 许晨①, 石松荔①, 黑君晖①, 王西墨②. 天津市大肠癌筛查初步结果分析[J]. 中国肿瘤临床, 2015, 42(15): 760-764. DOI: 10.3969/j.issn.1000-8179.20150644
引用本文: 赵丽中①, 张伟华①, 马东旺①, 李文①, 曹雅静①, 王宏磊①, 许晨①, 石松荔①, 黑君晖①, 王西墨②. 天津市大肠癌筛查初步结果分析[J]. 中国肿瘤临床, 2015, 42(15): 760-764. DOI: 10.3969/j.issn.1000-8179.20150644
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Lizhong ZHAO1, Weihua ZHANG1, Dongwang MA1, Wen LI1, Yajing CAO1, Honglei WANG1, Chen XU1, Songli SHI1, Junhui HEI1, Ximo WANG2. Analysis of colorectal cancer screening practices in the general population of Tianjin[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2015, 42(15): 760-764. DOI: 10.3969/j.issn.1000-8179.20150644
Citation: Lizhong ZHAO1, Weihua ZHANG1, Dongwang MA1, Wen LI1, Yajing CAO1, Honglei WANG1, Chen XU1, Songli SHI1, Junhui HEI1, Ximo WANG2. Analysis of colorectal cancer screening practices in the general population of Tianjin[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2015, 42(15): 760-764. DOI: 10.3969/j.issn.1000-8179.20150644
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天津市大肠癌筛查初步结果分析

Analysis of colorectal cancer screening practices in the general population of Tianjin

    摘要
  • 摘要: 目的：在40～74岁天津市自然人群中开展大肠癌筛查，评价问卷调查、大便潜血检查（stooloccultbloodtest ，FOB ）和全结肠镜检查的筛查效果，为探索大肠癌筛查策略提供参考。方法：筛查方法采用问卷调查结合FOB 的两步筛查模式，经初筛确定的高危人群行全结肠镜检查明确诊断。结果：2012年5 月至2014年12月，实际完成初筛2 117 304 例，初筛顺应性39.72% ；检出高危人群126 118 例，高危人群比例5.96% ；全结肠镜检查25837 例，检出腺瘤8 095 例，进展期腺瘤1 236 例、伴中重度异型增生的其他病变134 例、早期癌112 例、晚期癌336 例，早诊率为81.52% 。结论：天津市大肠癌筛查方案可以显著浓缩大肠癌高危人群，提高全结肠镜检查的阳性率，节省医疗资源。

     

    Abstract: Objective:Colorectal cancer screening was performed on a general population with age ranging between 40and 74 years old to evaluate the screening effects of questionnaire survey, fecal occult blood (FOB) test, and colonoscopy, as well as to provide some implications of colorectal cancer screening strategies. Methods:Two- step screening model of questionnaire survey combined with FOB test was applied for the screening. Colonoscopy was conducted in a high- risk population identified through preliminary screening as final diagnosis. Results:Based on the2,117,304 cases screened, the screening compliance was 39.72%, and 126,118 cases (5.96%) were identified as high risk. Colonoscopies were performed on25,837 cases, of which 8,095, 1,236, 134, 112, and 336 were identified as adenoma, advanced adenoma, severe dysplasia lesions, early cancer, and advanced cancer, respectively. The early stage di -agnostic rate was 81.52%. Conclusion:The colorectal cancer screening method performed in Tianjin can significantly concentrate on the high-risk population with colorectal cancer, increase the positivity rate of total colonoscopy, and economize medical resources.

     

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