| 徐 芳,应丽园,陈明彤.浙江省永康市大肠癌机会性筛查结果分析[J].中国肿瘤,2016,25(2):96-98. |
| 浙江省永康市大肠癌机会性筛查结果分析 |
| Analysis of Opportunistic Screening of Colorectal Cancer in Yongkang，Zhejiang Province |
| 投稿时间：2015-09-02 |
| DOI：10.11735/j.issn.1004-0242.2016.02.A004 |
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| 中文关键词: 大肠癌 机会性筛查 粪便隐血试验 肠镜 |
| 英文关键词:colorectal cancer opportunistic screening fecal occult blood test colonoscopy |
| 基金项目:永康市科技计划项目（201322） |
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| 中文摘要: |
| 摘 要：［目的］ 了解机会性筛查在永康市大肠癌防治中的可行性。［方法］ 采用问卷调查及粪便隐血试验(FOBT)对40～74岁人群进行初筛，确定高危人群后，进行结直肠镜精筛，分析筛查对象的依从性、大肠的病变情况和大肠癌的早诊早治情况。［结果］ 36 679人完成了初筛，其中FOBT的依从率为51.10%；评估高危人群5941人，进行肠镜检查5431人，检出各种大肠病变患者1006例，其中大肠癌患者163例，早期大肠癌患者54例，大肠癌的早诊率为59.48％，各种大肠病变的治疗率为98.51%。［结论］ 机会性筛查适合于永康市大肠癌的筛查，可检出更多大肠癌，特别是早期大肠癌及癌前病变。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the feasibility of opportunistic screening of colorectal cancer (CRC) in Yongkang. ［Methods］ Questionnaire survey and fecal occult blood test (FOBT) were used for preliminary screening of the participants aged from 40 to 74，and the high-risk population was further checked by colonoscopy for fine screening. Then，the compliance，lesions of large intestine and early diagnosis and treatment were analyzed. ［Results］ A total of 36 679 people were preliminarily screened，and the compliance rate of FOBT was 51.10%. 5941 people were assessed as high-risk ones，and 5431 people were fine screened by colonoscopy. Colorectal lesions were found in 1006 people，including 163 CRC patients and 54 early ones. The early diagnostic rate of CRC was 59.48%，and the treatment rate of various lesion of large intestine was 98.51%. ［Conclusions］ The opportunistic screening is applicable in Yongkang area，especially early colorectal cancer and precancerous lesions. |
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