| 杜 倩,邵春昕,邹赤群,等.2015—2021年北京市通州区结直肠癌早诊早治筛查结果分析[J].中国肿瘤,2023,32(9):698-702. |
| 2015—2021年北京市通州区结直肠癌早诊早治筛查结果分析 |
| Analysis of Screening Results of Colorectal Cancer in Tongzhou District of Beijing， 2015—2021 |
| 投稿时间：2023-03-16 |
| DOI：10.11735/j.issn.1004-0242.2023.09.A008 |
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| 中文关键词: 结直肠癌 筛查 早诊早治 北京 |
| 英文关键词:colorectal cancer screening early diagnosis and treatment Beijing |
| 基金项目: |
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| 摘要点击次数: 333 |
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| 中文摘要: |
| 摘 要：［目的］ 分析2015—2021年北京市通州区结直肠癌早诊早治筛查结果，为辖区结直肠癌预防控制策略的制定提供参考。［方法］ 2015—2021年，根据北京市农村癌症早诊早治项目方案要求，在通州区抽取40~74岁的常住居民，通过问卷评估和粪便潜血试验初筛获得结直肠癌高危人群，对高危人群开展临床结直肠镜筛查，计算结直肠癌高危率、临床筛查依从率以及病变检出率。［结果］ 通州区共22 936名居民纳入项目，结直肠癌总体高危率为41.36%，女性高于男性（P<0.001），50~59岁人群高危率最高。2015—2019年高危率持续处于较高水平，2020—2021年高危率有所下降（P<0.001）。共有4 639人进行肠镜检查，依从率为48.90%，男性依从率高于女性（P<0.05）。通州区结直肠癌、进展期腺瘤、非进展期腺瘤及非腺瘤性良性病变的检出率分别为0.56%、3.41%、17.22%和23.82%，男性各类型病变的检出率均高于女性，非进展期腺瘤、结直肠癌的检出率均随年龄增长呈上升趋势（P<0.05）。［结论］ 北京市通州区居民具有较高的结直肠癌患病风险，筛查依从率较高，肠道早期病变发现比例较高，结直肠癌早诊早治具有良好效果。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the screening results of early diagnosis and treatment of colorectal cancer program in Tongzhou District of Beijing from 2015 to 2021. ［Method］ According to the early cancer diagnosis and treatment program， permanent residents aged 40~74 years old in rural areas were enrolled from 2015 to 2021. The high-risk of colorectal cancer was screened by questionnaire assessment and fecal immunochemical occult blood test， and the high-risk subjects were required for colonoscopy. The high risk rate of colorectal cancer， colonoscopy compliance rate and detection rate of lesion were analyzed. ［Results］ A total of 22 936 residents participated in the screening program. The overall high risk rate of colorectal cancer was 41.36%， the risk rate in female was higher than that in male(P<0.001)； people of 50 to 59 years old had the highest high risk rate； the high risk rates were higher in 2015—2019 than that in 2020—2021(P<0.001). The colonoscopy was performed in 4 639 cases with a compliance rate was 48.90%， the compliance in male was higher than that in female(P<0.05). The detection rates of colorectal cancer， advanced adenoma， non-advanced adenoma and non-adenomatous lesions were 0.56%， 3.41%， 17.22% and 23.82%， respectively. The detection rates of all types of lesions in male were higher than those in female， and the detection rates of non-advanced adenoma and colorectal cancer increased with the increase of age(P<0.05). ［Conclusion］ Residents in Tongzhou District have a relative high risk of colorectal cancer， the screening compliance rate and the proportion of detection in early intestinal lesions is high， which is beneficial for early diagnosis and treatment of colorectal cancer. |
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