高宇萌,孙校华,李 辉.2013~2018年浙江省宁波市城市居民肺癌风险评估及筛查结果分析[J].中国肿瘤,2019,28(6):417-421.
2013~2018年浙江省宁波市城市居民肺癌风险评估及筛查结果分析
Screening of Lung Cancer with Risk Assessment and CT Scanning in Urban Residents of Ningbo City from 2013 to 2018
投稿时间:2019-03-22  
DOI:10.11735/j.issn.1004-0242.2019.06.A004
中文关键词:  肺肿瘤  风险评估  筛查  癌症早诊早治  浙江
英文关键词:lung neoplasms  risk assessment  screening  early diagnosis and treatment of cancer  Zhejiang
基金项目:国家重大公共卫生专项城市癌症早诊早治(宁波市城市癌症早诊早治项目)
作者单位
高宇萌 中国科学院大学宁波华美医院 
孙校华 中国科学院大学宁波华美医院 
李 辉 宁波市疾病预防控制中心 
摘要点击次数: 2213
全文下载次数: 430
中文摘要:
      摘 要:[目的] 分析浙江省宁波市2013~2018年城市居民肺癌风险评估及筛查结果,为肺癌早诊早治工作提供依据。[方法] 根据城市癌症早诊早治项目技术方案,在宁波市选取海曙区、江北区、鄞州区作为项目点,通过癌症危险因素问卷调查和风险评估,评出的高风险对象免费接受低剂量螺旋CT 检查,分析肺癌的高风险率、筛查率和检出率。[结果] 共完成问卷调查和风险评估77 061例,评出肺癌高风险对象14 752例(高风险率为19.14%),完成低剂量螺旋CT检查8876例(筛查率为60.17%),检出阳性结节1237例(检出率为13.94%)、<5mm实性/部分实性结节3848例(检出率为43.35%)、<8mm非实性结节370例(检出率为4.17%)、疑似肺癌134例(检出率为1.51%),通过随访,病理确诊肺癌44例,早诊率86.36%。[结论] 要在重点人群中开展肺癌风险评估和高危人群筛查,探索更精准的肺癌高危人群评估方法,以提高筛查和早诊早治效果,同时应加强肺癌防控科普宣传,以提高居民的癌症筛查意识。
英文摘要:
      Abstract:[Purpose] To analyze the results of lung cancer screening with risk assessment and CT scanning among urban residents in Ningbo City. [Methods] The lung cancer screening program was conducted in 3 urban districts(Haishu,Jiangbei and Yinzhou) of Ningbo City from 2013 to 2018. The risk of lung cancer was assessed with questionnaire survey,and the high-risk subjects were identified for further low-dose spiral CT examination. The high-risk rate,CT examination rate and lung cancer detection rate were analyzed. [Results] A total of 77 061 subjects completed with questionnaire survey and risk assessment,and 14 752 cases(19.14%) with high risk of lung cancer were identified,among who 8876 cases(60.17%) received low-dose spiral CT examination. Total 1237 cases(13.94%) with positive nodules were detected,3848(43.35%) <5mm solid/partial solid nodules and 370(4.17%) with <8mm non-solid nodules were detected. Among134 cases(1.51%) of suspected lung cancer,44 patients with lung cancer were confirmed by pathological examination,86.36% of whom were early lung cancer. [Conclusion] Risk assessment and CT screening for high-risk population of lung cancer is effective to detect early lung cancer,however,the methods for high-risk assessment need to be improved and the health education for lung cancer screening should be strengthened among urban residents.
在线阅读   查看全文  查看/发表评论  下载PDF阅读器