|
| 湖北省2022-2023年上消化道癌机会性筛查结果分析 |
| Analysis of Opportunistic Screening Results for Upper gastrointestinal Cancer in Hubei Province from 2022 to 2023 |
| 投稿时间：2025-01-12 修订日期：2025-02-26 |
| DOI： |
|
 |
| 中文关键词: 上消化道癌 机会性筛查 活检率 阳性检出率 |
| 英文关键词:upper gastrointestinal cancer, opportunistic screening, biopsy rate,positive detection rate |
| 基金项目: |
|
| 摘要点击次数: 20 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的：分析湖北省2022-2023年上消化道癌机会性筛查结果,以推动湖北省上消化道癌筛查项目的实施。方法：整理湖北省2022年1月1日至2023年12月31日上消化道癌机会性筛查数据，计算活检率、阳性检出率、早诊率。采用卡方检验和趋势卡方检验比较不同性别、年龄别、地区间率的差异。结果：2022-2023年间，372507例人群纳入上消化道癌机会性筛查，100379人进行了活检组织病理学检查，活检率为26.94%。共检出上消化道阳性病例（高级别上皮内瘤变+早期癌+中晚期癌）4678例，阳性病变检出率为1.26%. 食管、贲门、胃分部位阳性病变检出率分别为0.61%、0.07%和0.58%。其中，检出上消化道癌早期病例（高级别上皮内瘤变+早期癌）721例，早诊率为15.41%，食管、贲门、胃分部位的早诊率分别为14.53%、11.96和16.89%。各项目地区阳性病变检出率差异有统计学意义。结论：实施上消化道癌的机会性筛查有助于扩大筛查的覆盖范围，需要进一步加强规范化、同质化的培训，完成高质量的内镜检查，以提高上消化道癌机会性筛查项目的检出率和早诊率。 |
| 英文摘要: |
| Objective: To analyze the opportunistic screening results of upper gastrointestinal cancer in Hubei Province from 2022 to 2023, in order to promote the upper gastrointestinal cancer screening program in Hubei Province. Methods: The data of upper gastrointestinal cancer opportunistic screening program in Hubei province from January 1, 2022 to December 31, 2023 were summarized, the biopsy rate, positive lesion detection and early diagnosis rates were analyzed．The differences in rates between/among different genders, age groups and regions were compared by 2 test, trend 2 test. Results：A total of 372,507 people were included in the opportunistic screening of upper gastrointestinal cancer from 2022 to 2023. Among them, 100379 individuals underwent biopsy histopathological examination, with a biopsy rate of 26.94%. A total of 4678 positive cases (high-grade intraepithelial neoplasia, early-stage cancer and advanced cancer) were detected in the opportunistic screening, with a positive lesion detection rate of 1.26%. The detection rates of positive lesions in the esophagus, cardia, and stomach were 0.61%, 0.07%, and 0.58%, respectively. There were 721 cases of early upper gastrointestinal cancer (high-grade intraepithelial neoplasia, early-stage cancer), representing an early diagnosis rate of 15.41%. The early diagnosis rates for the esophagus, cardia, and stomach were 14.53%, 11.96 and 16.89%, respectively. There were significant differences in the positive detection rate among different screening areas. Conclusions: The implementation of opportunistic screening for upper gastrointestinal cancer is conducive to expanding the coverage of screening. It is necessary to strengthen standardized and homogeneous training and complete high-quality endoscopic examination to improve the detection rate and early diagnosis rate of opportunistic screening program for upper gastrointestinal cancer . |
|
在线阅读
查看/发表评论 下载PDF阅读器 |
|
|
|