| 罗鹏飞,韩仁强,缪伟刚.2006—2018年江苏省农村上消化道癌早诊早治结果分析[J].中国肿瘤,2022,31(2):132-138. |
| 2006—2018年江苏省农村上消化道癌早诊早治结果分析 |
| Screening Results of Early Diagnosis and Treatment of Upper Gastrointestinal Cancer in Rural Areas of Jiangsu Province， 2006—2018 |
| 投稿时间：2021-10-31 |
| DOI：10.11735/j.issn.1004-0242.2022.02.A008 |
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| 中文关键词: 上消化道癌 筛查 早诊率 江苏 |
| 英文关键词:upper gastrointestinal cancer screening early stage diagnosis rate Jiangsu |
| 基金项目:中国消化道早癌医师共同成长计划科研项目（GTCZ?鄄2020?鄄JS?鄄32?鄄0002） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2006—2018年江苏省农村上消化道癌早诊早治项目的初筛和随访情况，掌握其总体变化趋势。［方法］ 通过搜集整理2006—2018年江苏省早诊早治项目相关数据，计算参与内镜筛查人群的病例检出率、早诊率和治疗率等指标，并进行趋势性检验以评价总体变化趋势。［结果］ 2006—2018年江苏省合计完成136 020人次的筛查和随访，检出率、早诊率、治疗率分别为1.30%、69.76%、90.03%。初筛和随访人群的检出率分别为1.26%和3.08%，早诊率分别为68.99%和84.27%，治疗率分别为90.52%和79.78%。初筛人群中，13年间的检出率和治疗率变化均无统计学意义（P>0.05），2012—2018年早诊率的上升趋势存在统计学意义（P<0.05），食管部位的早诊率高于胃和贲门部位；2012—2018年随访人群的随访率、检出率、早诊率和治疗率的变化均无统计学意义（P>0.05）。［结论］ 江苏省农村上消化道癌总体检出率相对稳定，检出病变以食管部位为主，2012—2018年早诊率总体呈上升趋势，随访人群的检出率高于初筛人群，今后应重点提高早诊率和随访率。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze screening results of the early diagnosis and treatment of upper gastrointestinal cancer in rural areas of Jiangsu Province from 2006 to 2018. ［Methods］ The data of early diagnosis and treatment projects program in rural areas of Jiangsu Province from 2006 to 2018 were collected and sorted out. The detection rate， early stage diagnosis rate and treatment rate among the screening population were calculated， and the trends were estimated by conducting trend tests. ［Results］ A total of 136 020 residents were preliminarily screened and followed-up in Jiangsu Province from 2006 to 2018. The overall detection rate， early stage diagnosis rate and treatment rate were 1.30%， 69.76% and 90.03%， respectively. Among the subjects in preliminary screening and follow-up， the detection rates of were 1.26% and 3.08%， the early stage diagnosis rates were 68.99% and 84.27%， and the treatment rates were 90.52% and 79.78%， respectively. Among the subjects in preliminary screening， the detection rate and treatment rate from 2006 to 2018 did not significantly changed(P>0.05)， but the early stage diagnosis rate increased significantly from 2012 to 2018(P<0.05)， and the early stage diagnosis rate of esophageal lesions was higher than that of non-cardia stomach and cardia lesions. The changing trends from 2012 to 2018 of follow-up rate， detection rate， early stage diagnosis rate and treatment rate among the subjects in follow-up were not statistically significant (P>0.05). ［Conclusion］ The overall detection rate in rural Jiangsu Province is relatively stable， and esophagus is the mainly sites where cancerous lesions diagnosed. The early stage diagnosis rate generally show an upward trend from 2012 to 2018. The detective rates of subjects in follow-up are higher than those in preliminary screening. More efforts should be carried out to find more early stage cases and to strengthen the follow-up. |
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