朱 玲,胡远东,赵否曦,等.2009—2019年贵州省农村上消化道癌早诊早治筛查结果分析[J].中国肿瘤,2022,31(11):903-908.
2009—2019年贵州省农村上消化道癌早诊早治筛查结果分析
Screening of Upper Digestive Tract Cancer in Rural Areas of Guizhou Province, 2009—2019
投稿时间:2022-05-11  
DOI:10.11735/j.issn.1004-0242.2022.11.A009
中文关键词:  农村  上消化道癌  筛查  早诊早治  贵州
英文关键词:rural area  upper gastrointestinal tract cancer  screening  early diagnosis and treatment  Guizhou
基金项目:中国消化道早癌医师共同成长计划(GTCZ-2020-GZ-52-0001)
作者单位
朱 玲 贵州省疾病预防控制中心 
胡远东 贵州省疾病预防控制中心 
赵否曦 贵州省疾病预防控制中心 
徐莉娜 贵州省疾病预防控制中心 
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中文摘要:
      摘 要:[目的]分析2009—2019年贵州省农村地区上消化道癌早诊早治筛查项目筛查结果。[方法] 2009年7月1日—2019年6月30日,在贵州省的福泉市、榕江县、从江县、黄平县、玉屏县、仁怀市、西秀区、赤水市8个项目点,以乡/村为单位整群抽取40~69岁、符合纳入项目标准的村民作为初筛人群,经消化道的内镜检查,对发现的可疑病变辅以碘染色,然后进行病理学检查,按照不同年份、不同项目点对筛查情况进行比较。[结果] 开展项目10年间,完成初次筛查17 666人次,检出癌症共计29例,检出率为0.16%,早期癌症13例,早诊率为 44.83%。卡方检验显示各年度病变检出率差异有统计学意义(χ2=36.360,P<0.001),癌症检出率差异无统计学意义(χ2=13.638,P=0.136)。各项目点病变检出率差异有统计学意义(χ2=82.881,P<0.001),癌症检出率差异无统计学意义(χ2=10.684,P=0.153)。[结论] 贵州省农村上消化道癌早诊早治项目中,各项目点均可发现各级病变和早期癌症患者,但癌症检出率、早诊率、治疗率均未达到技术方案要求,无随访发现病例,故在以后项目工作中,需进一步提高筛查质量和随访水平。
英文摘要:
      Abstract:[Purpose] To analyze the results of upper digestive tract cancer screening in rural areas of Guizhou Province from 2009 to 2019. [Methods] An upper digestive tract cancer screening program was conducted among residents aged 40~69 years old from 8 rural project sites in Guizhou Province selected by cluster sampling method from July 2009 to June 2019.The digestive tract endoscopy and iodine staining and pathological examination were performed for people with suspected lesions. The screening results by year or by project site were analyzed.[Results] During the 10 years of the project, 17 666 people were initially screened and 29 cases of upper digestive tract cancer were detected with detection rate of 0.16%, including 13 cases of early stage cancer with an early detection rate of 44.83%. Chi-square test showed that there was statistically significant difference in the detection rate of upper digestive tract lesions among different years(χ2=36.360, P<0.001), while there was no significant difference in the detection rate of cancer(χ2=13.638, P=0.136).There was significant difference in the detection rate of upper digestive tract lesions among project sites(χ2=82.881, P<0.001), while there was no significant difference in the detection rate of cancer(χ2=10.684, P=0.153).[Conclusion]The study demonstrates that upper digestive tract cancer and other lesions can be detected through screening, and also indicates that further improvement should be made to improve the quality of screening and the level of follow-up in rural areas of Guizhou Province.
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