| 齐翠花,陈卫刚,徐丽红.新疆哈萨克族胃癌早期防治适宜技术的研究与应用[J].中国肿瘤,2016,25(2):99-102. |
| 新疆哈萨克族胃癌早期防治适宜技术的研究与应用 |
| Research and Application of Appropriate Technologies for Early Prevention of Gastric Cancer in Xinjiang Kazak |
| 投稿时间：2015-08-26 |
| DOI：10.11735/j.issn.1004-0242.2016.02.A005 |
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| 中文关键词: 胃癌 哈萨克族 防治 适宜技术 |
| 英文关键词:gastric carcinoma Kazakh prevention appropriate technology |
| 基金项目:国家科技支撑计划资助项目（2009BAI82B05） |
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| 摘要点击次数: 2601 |
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| 中文摘要: |
| 摘 要：［目的］探索一套适宜新疆哈萨克族胃癌筛查和早诊早治适宜技术模式并示范应用。［方法］针对新疆哈萨克族胃癌高发的问题，通过建立哈萨克族胃癌四级医疗合作网络，培训基层医务人员，利用胃癌早期三级筛查方法，以人群为基础开展新疆哈萨克族胃癌的筛查和早期诊断、早期治疗工作。［结果］完成新疆哈萨克族大便潜血试验6012人，受检率为52.28%，隐血珠试验5329人，受检率为46.34%；完成哈萨克族胃镜检查2196例；确诊胃高级别上皮内瘤变3例，早期胃癌2例，中晚期胃癌10例，胃低级别上皮内瘤变13例，哈萨克族胃癌早诊率为33.33%。食管高级别上皮内瘤变2例，早期食管癌2例，中晚期食管癌9例，食管低级别上皮内瘤变11例，食管癌早诊率为30.77%；并对新疆哈萨克族3例胃高级别上皮内瘤变、2例早期胃癌、2例食管高级别上皮内瘤变和2例早期食管癌进行了内镜下黏膜剥离术（ESD）及术后随访。［结论］大便潜血和隐血珠试验作为新疆哈萨克族胃癌初筛的方法并不明显优于胃镜的直接检查；在少数民族高发区，将动员目标人群筛查与人群有症状者主动筛查相结合，对40岁以上人群每3年直接进行胃镜筛查，提高早癌检出率。 |
| 英文摘要: |
| Abstract：［Purpose］ To explore a set of suitable Xinjiang Kazak gastric cancer screening，early diagnosis and treatment of appropriate technology and application. ［Methods］ Due to high incidence of gastric cancer in Xinjiang Kazak，four level medical cooperation networks in gastric cancer were established，medical personnel at the grass-roots level were trained，method of early tertiary screening for gastric cancer was used for population-based gastric cancer screening and early diagnosis and early treatment. ［Results］ 6012 people completed fecal occult blood test，examination rate was 52.28%，5329 people completed occult blood bead test，examination rate was 46.34%；2196 people completed the kazak gastroscopy；3 patients were diagnosied of gastric high-grade intraepithelial neoplasia，2 were early gastric cancer，10 were middle-late gastric cancer，13 cases of low level intraepithelial neoplasia，kazak gastric cancer early detection rate was 33.33%. 2 cases of esophageal high-grade intraepithelial neoplasiain，2 cases of early esophageal cancer，9 cases of esophageal carcinoma，esophageal low grade intraepithelial neoplasia in 11 cases，esophageal cancer early diagnosis rate was 30.77%；3 cases of gastric high-grade intraepithelial neoplasia，2 cases of early gastric cancer，2 cases of esophageal high-grade intraepithelial neoplasia，2 cases of early esophageal cancer underwent endoscopic submucosal dissection (ESD) and postoperative follow-up. ［Conclusion］ Fecal occult blood and occult blood bead test as methods of Xinjiang Kazak gastric cancer screening are no better than gastroscope inspection directly.In high incidence areas of minority，population screening and target groups with symptoms of people over the age of 40 are mobilizated to use direct endoscopic screening every 3 years，which could improve the detection rate of early cancer. |
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