| 韩 静,商 娜,尚 书,等.2017—2021年内蒙古城市地区结直肠癌高危人群结肠镜筛查结果分析[J].中国肿瘤,2024,33(8):623-633. |
| 2017—2021年内蒙古城市地区结直肠癌高危人群结肠镜筛查结果分析 |
| Analysis of Colonoscopy Screening Results Among High-Risk Population in Inner Mongolia from 2017 to 2021 |
| 投稿时间：2024-01-11 |
| DOI：10.11735/j.issn.1004-0242.2024.08.A003 |
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| 中文关键词: 结直肠癌 结肠镜 依从性 检出率 内蒙古 |
| 英文关键词:colorectal cancer colonoscopy compliance detection rate Inner Mongolia |
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| 中文摘要: |
| 摘 要：［目的］分析2017—2021年内蒙古城市癌症早诊早治项目41 002名结直肠癌高危人群的筛查结果。［方法］ 采用χ2检验比较不同人口学特征人群结肠镜筛查参与率的差异，将单因素分析中有意义的（P<0.05）自变量纳入二元Logistic回归模型中分析结肠镜筛查参与率相关的因素。并采用χ2检验分析不同性别、年龄组、民族间结直肠癌阳性病例检出率。［结果］ 2017—2021年内蒙古城癌筛查地区共评估出高危人群41 002人，高危率22.73%，参与结直肠镜检查9 572人，结肠镜参与率为23.35%。完成病理活检3 438人，活检率35.92％；共检出结直肠癌阳性病例973例，检出率为10.17%，其中结直肠癌41例，检出率为0.43%，癌前病变932例，检出率为12.65%。二元Logistic回归分析结果显示，与≤45岁人群相比，高年龄组（46~55岁、56~65岁和>65岁组）的人群更不愿意接受结肠镜检查（OR分别为0.258、0.235和0.164）；与呼和浩特市人群相比，巴彦淖尔市人群（OR=0.634）更不愿意接受结肠镜筛查；与公职人员人群相比，农工商服务人员（OR=0.889）更不愿意接受结肠镜筛查；与小学及以下学历的人群相比，初中（OR=1.586）、高中（OR=1.698）、大学及以上（OR=1.534）学历组更愿意接受筛查；与不饮酒人群相比，饮酒人群（OR=1.256）更愿意接受结肠镜筛查；具有慢性结肠炎人群（OR=1.677）、下消化系统其他疾病人群（OR=1.367）、粪便潜血检测阳性人群（OR=1.416）更愿意接受结肠镜筛查。［结论］ 内蒙古城市癌症筛查地区总体结肠镜依从性较低，筛查结果提示应加强对男性和老年人群的结直肠癌筛查与预防工作。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the colorectal cancer screening results among high-risk population in Inner Mongolia from 2017 to 2021. ［Methods］ The compliance rate of colonoscopy screening was compared among populations with different demographic characteristics by χ2 test. The factors related to compliance rate of colonoscopy screening were examined by the binary multivariate Logistic regression model. The detection rate of colorectal cancer were analyzed by sex， age， and ethnic groups. ［Results］ A total of 41 002 cases of high risk for colorectal cancer were identified， accounting for 22.73% of all screening participants， among whom 9 572 underwent colonoscopy examinations with a compliance rate of 23.35%； pathological biopsy was completed in 3 438 cases with biopsy rate of 35.92%. Positive findings were detected in 973 cases(10.17%)， including 41 cases of colorectal cancer (0.43%) and 932 cases of precancerous lesions (12.65%). Multivariate Logistic regression analysis showed that people with age >45 years old (OR=0.258， 0.235， 0.164)， living in Bayannur (OR=0.634) ， working in agricultural， industrial and commercial service sectors (OR=0.889) were less willing to undergo colonoscopy screening. People with junior high school education (OR=1.586)， senior high school education (OR=1.698)， university and above (OR=1.534) were more willing to be screened. Alcohol drinkers (OR=1.256)， people with chronic colitis (OR=1.677)， other diseases of lower digestive system (OR=1.367) and positive fecal occult blood test (OR=1.416) were more willing to undergo colonoscopy screening. ［Conclusion］ The compliance of colonoscopy in urban cancer screening areas in Inner Mongolia is low. The screening results suggest that the screening and prevention of colorectal cancer in men and the elderly should be strengthened. |
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