| 师 金,梁 迪,夏长金.2018—2019年河北省城市上消化道癌筛查结果分析[J].中国肿瘤,2020,29(6):419-424. |
| 2018—2019年河北省城市上消化道癌筛查结果分析 |
| Analysis of Upper Gastrointestinal Cancer Screening Results in Urban Areas of Hebei Province，2018—2019 |
| 中文关键词 修订日期：2020-01-31 |
| DOI：10.11735/j.issn.1004-0242.2020.06.A003 |
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| 中文关键词: 上消化道癌 筛查 早诊早治 城市 河北 |
| 英文关键词:upper gastrointestinal cancer screening early diagnosis and treatment urban Hebei |
| 基金项目:国家重点研发计划项目（2018YFC1313100）；国家自然科学基金（81871922） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2018—2019年河北省城市癌症早诊早治项目中上消化道癌筛查结果。［方法］ 按照河北省城市癌症早诊早治中上消化道癌筛查流程，在石家庄市和唐山市选定社区年龄40~74岁的当地居民，通过问卷调查之后采用国家统一评估模型评估出高危人群，进一步通过内镜检查，发现早期上消化道病变，必要时通过病理进行确诊。［结果］ 2018—2019年度，河北省城癌项目共计37 849人完成上消化道癌危险因素问卷调查，评估出上消化道癌高危人群9222例，总体高危率为24.37%。其中1838人参加了上消化道内镜检查，完成病理检查1154人，病理检查率为62.79%。进行病理诊断者年龄主要分布在50~64岁。经内镜检查及病理诊断，共检出6例上消化道癌患者，总检出率为0.33%，其中胃癌3例，检出率为0.16%，食管癌3例，检出率为0.16%。胃癌前病变检出27例，检出率为1.47%，食管癌前病变检出3例，检出率为0.16%。［结论］ 通过问卷调查评估出高危人群后，采用上消化道内镜结合病理学检查的筛查手段能够有效检出上消化道癌及癌前病变。 |
| 英文摘要: |
| Abstract：［Purpose］To analyze the results of screening for upper gastrointestinal cancer in urban areas of Hebei Province from 2018 to 2019. ［Methods］ According to the screening process of upper gastrointestinal cancer in early diagnosis and treatment of urban cancer in Hebei Province，the local residents aged 40~74 years old from the selected communities in Shijiazhuang City and Tangshan City were enrolled in the study. The high-risk populations were evaluated by national unified evaluation model after the questionnaires. Further endoscopy revealed early upper gastrointestinal lesions，and confirmed by pathology if necessary.［Results］ In 2018—2019，a total of 37 849 urban residents were involved in cancer risk assessment for upper gastrointestinal cancer，and 9222 were evaluated with the high risk population of upper gastrointestinal cancer，the high risk rate was 24.37%. 1838 people participated in upper gastrointestinal endoscopy examination. 1154 of 1838 were diagnosied by the pathological examination，and the pathological examination rate was 62.79%. The age of pathological diagnosis was mainly distributed in the age group of 50~64 years old. By endoscopy and pathological diagnosis，a total of 6 patients with upper gastrointestinal canner were diagnozed，the total detection rate was 0.33%，including 3 cases of gastric cancer and 3 cases of esophageal cancer. The detection rates of gastric precancerous lesions and esophageal precancerous lesions were 1.47% and 0.16%，with the cases of 27 and 3，respectively.［Conclusion］The high risk population of upper gastrointestinal cancer evaluated by questionnaire survey，then combined with gastroscopy and pathological diagnosis can effectively detect upper gastrointestinal cancer and precancerous lesions. |
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