赵丽中,王秋伟,于紫婷,等.2012—2022年天津市结直肠癌筛查结果分析[J].中国肿瘤,2023,32(9):669-675.
2012—2022年天津市结直肠癌筛查结果分析
Analysis of Colorectal Cancer Screening Results in Tianjin from 2012 to 2022
投稿时间:2023-05-29  
DOI:10.11735/j.issn.1004-0242.2023.09.A004
中文关键词:  结直肠癌  筛查  早诊早治  天津
英文关键词:colorectal cancer  screening  early diagnosis and treatment  Tianjin
基金项目:天津市卫生健康委员会科技项目(ZC20229);天津市卫生信息学会科技项目(TJHIA-2022-009)
作者单位
赵丽中 天津市人民医院 天津市大肠肛门病研究所 
王秋伟 天津市人民医院 
于紫婷 天津市人民医院 天津医科大学研究生院 
张 芮 天津市人民医院 南开大学研究生院 
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中文摘要:
      摘 要: [目的] 分析2012—2022年天津市结直肠癌筛查结果。[方法] 采用结直肠癌问卷风险评估和免疫法便潜血试验(FIT)相结合的方法筛查出目标人群中的结直肠癌高危人群,对其行全结肠镜检查。[结果] 2012—2022年天津市结直肠癌筛查项目累计完成结直肠癌风险评估问卷调查7 126 853份,FIT检测5 570 502份。其中发现高危人群319 035人(占比4.48%),早诊率达到86.27%。另外,全结肠镜检出腺瘤72 962例、进展期腺瘤15 097例,锯齿状腺瘤1 736例、其他伴上皮高级别瘤变632例、早期癌1 109例、中晚期癌2 955例。[结论] 社区人群中开展结直肠癌筛查工作,普及结直肠癌防治知识,提高居民筛查知晓率,可使结直肠癌疾病负担得到有效控制。
英文摘要:
      Abstract: [Purpose] To analyze the colorectal cancer screening results of Tianjin from 2012 to 2022. [Methods] The colorectal cancer screening program was conducted from 2012 to 2022. The combination of a questionnaire-based risk assessment and fecal immunochemical test(FIT) was used for screening the high-risk individuals of colorectal cancer among the target populations, a total colonoscopy was performed for identified high-risk subjects. [Results] By the end of 2022, 7 126 853 colorectal cancer questionnaire assessments and 5 570 502 FITs were conducted, and about 319 035 high-risk individuals(accounting for 4.48% of the total) were identified, 86.27% of whom underwent colonoscopic examinations. A total of 72 962 cases of adenomas, 15 097 cases of advanced adenoma, 1 736 cases of serrated adenoma, 632 cases of high-grade colorectal intraepithelial neoplasia, 1 109 cases of early cancer and 2 955 cases of advanced cancer were detected by the colonoscopy. [Conclusion] The colorectal cancer screenings among the general population and knowledge popularization of colorectal cancer prevention and treatment would reduce the burden of colorectal cancer effectively.
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