| 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 |
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| 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） |
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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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