宋述铭,周天虹,姚 芳,等.2014—2018年新疆城市癌症早诊早治项目筛查结果分析[J].中国肿瘤,2022,31(9):716-722.
2014—2018年新疆城市癌症早诊早治项目筛查结果分析
Results of Cancer Screening Program in Urban Areas of Xinjiang Uygur Autonomous Region from 2014 to 2018
投稿时间:2022-06-06  
DOI:10.11735/j.issn.1004-0242.2022.09.A006
中文关键词:  癌症  筛查  早诊早治  高危人群  检出率  城市地区  新疆
英文关键词:cancer  screening  early diagnosis and detection  high-risk population  detection rate  urban area  Xinjiang
基金项目:新疆维吾尔自治区自然科学基金(2022D01C303)
作者单位
宋述铭 新疆医科大学附属肿瘤医院 
周天虹 新疆医科大学附属肿瘤医院 
姚 芳 新疆医科大学附属肿瘤医院 
顾秀瑛 新疆医科大学附属肿瘤医院 
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中文摘要:
      摘 要:[目的] 分析2014—2018年新疆城市癌症早诊早治项目筛查结果。[方法] 对新疆开展城市癌症早诊早治项目5年以来的风险评估及临床筛查数据进行汇总统计,分别计算各个癌种的高危率、筛查率和阳性病变检出率。[结果] 2014—2018年累计完成问卷调查213 326人次。癌症高危率从高到低分别是上消化道癌(27.71%)、肺癌(25.91%)、女性乳腺癌(24.09%)、结直肠癌(21.51%)和肝癌(17.12%)。累计完成5类癌症的临床检查61 947人次,其中分癌种筛查率分别是肝癌(42.76%)、乳腺癌(42.42%)、肺癌(34.86%)、上消化道癌(14.69%)和结直肠癌(14.44%)。共检出阳性病变9 490例,分部位阳性病变检出率顺位依次为肺(21.78%)、肝(18.77%)、乳腺(16.38%)、结直肠(6.03%)和上消化道(0.42%)。[结论]新疆城市癌症早诊早治项目中结直肠癌和上消化道癌的筛查率和阳性病变检出率比较低,需进一步有针对性开展人群健康宣教和组织动员,以提升癌症筛查效果。
英文摘要:
      Abstract:[Purpose] To analyze the screening results of the Cancer Screening Program in Urban China in Xinjiang Uygur Autonomous Region from 2014 to 2018. [Methods] The data of cancer screening conducted in Xinjiang from 2014 to 2018 were collected, and the high-risk rates, screening rates and detection rates of positive lesions for each cancer were calculated respectively. [Results] A total of 213 326 participants completed the high-risk questionnaire survey. The ranks for five cancers with high-risk rate were upper gastrointestinal cancer(27.71%), lung cancer(25.91%), female breast cancer(24.09%), colorectal cancer(21.51%) and liver cancer(17.12%). Among all high-risk population, 61 947 clinical examinations were performed. The screening rates for liver, breast, lung, upper gastrointestinal and colorectal cancer were 42.76%, 42.42%, 34.86%, 14.69% and 14.44%, respectively. A total of 9 490 cases with positive lesions were detected. The detection rates for five sites were 21.78%(lung), 18.77%(liver), 16.38%(breast), 6.03%(colorectum), and 0.42%(upper gastrointestinal tract), respectively. [Conclusion] The screening participation rate and positive lesion detection rate of colorectal cancer and upper gastrointestinal cancer in Cancer Screening Program in Urban China in Xinjiang are lower than other cancer types. It is necessary to further carry out targeted public health education and organizational mobilization to improve the effectiveness of cancer screening.
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