| 窦婷婷,朱 强,戴 丹,等.2022—2024年安徽省农村上消化道癌机会性筛查结果分析[J].中国肿瘤,2026,35(5):394-403. |
| 2022—2024年安徽省农村上消化道癌机会性筛查结果分析 |
| Analysis of the Results of Opportunistic Screening for Upper Gastrointestinal Cancer in Rural Areas of Anhui Province from 2022 to 2024 |
| 投稿时间：2025-07-17 |
| DOI：10.11735/j.issn.1004-0242.2026.05.A008 |
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| 中文关键词: 上消化道癌 机会性筛查 早诊早治 安徽 |
| 英文关键词:upper gastrointestinal cancer opportunistic screening early diagnosis and early treatment Anhui |
| 基金项目:中国消化道早癌医师共同成长计划（GTCZ-2023-AH-01，GTCZ-2023-AH-03）；2024年安徽省卫生健康科研项目（AHWJ2024Aa30331）；安徽省疾病预防控制中心（安徽省公共卫生研究院）青年科研项目（JKQN20230106） |
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| 中文摘要: |
| 摘 要：［目的］ 分析安徽省2022—2024年农村上消化道癌机会性筛查结果。［方法］ 对安徽省2022年、2023年和2024年上消化道癌机会性筛查地区40~74岁常住人口进行问卷调查、胃镜检查及病理检测，采用?字2检验与Fisher确切概率法比较不同组间率的差异，对上消化道癌机会性筛查检出率、早诊率情况进行分析。［结果］ 2022—2024年安徽省农村上消化道癌机会性筛查共纳入1 318 794人，其中共计检出上消化道各部位阳性病变患者28 629例（2.17%）；早诊病例6 975例（24.36%）。皖中地区的食管、贲门和十二指肠阳性病变检出率最高，皖南地区胃阳性病变检出率最高。全省上消化道各部位阳性病变检出率随年龄的增长而显著上升（P均<0.01），且男性高于女性（P均<0.01）。采用无痛胃镜、染色技术、幽门螺杆菌（Helicobacter pylori，Hp）检测的受检人群，其上消化道阳性病变早诊率显著高于非无痛胃镜、非染色、非Hp检测人群（P均<0.01）。Hp阳性人群与阴性人群的早诊率差异无统计学意义（P>0.05）。［结论］ 2022—2024年安徽省农村上消化道癌机会性筛查早诊率呈现逐年上升趋势，但早诊率及检出率距离总体预期目标仍有差距，需进一步扩大筛查覆盖面，重点加强男性、中老年及高危人群的筛查，普及癌症早筛知识及能力，提升筛查依从性。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the results of opportunistic screening for upper gastrointestinal cancer in rural areas of Anhui Province from 2022 to 2024. ［Methods］ A questionnaire survey， gastroscopy， and pathological detection were conducted on permanent residents aged 40~74 years old in the opportunistic screening areas for upper gastrointestinal cancer in Anhui Province in 2022， 2023， and 2024. The ?字2 test and Fisher’s exact test used to compare the rate differences between groups， and the detection rate and early diagnosis rate of opportunistic screening for upper gastrointestinal cancer were analyzed. ［Results］ From 2022 to 2024， a total of 1 318 794 people were screened for opportunistic upper gastrointestinal cancer in rural areas of Anhui Province， among which 28 629 cases (2.17%) of upper gastrointestinal positive lesions were detected； 6 975 cases (24.36%) were early-diagnosed. The detection rates of esophageal， cardia， and duodenal positive lesions were the highest in central Anhui； the detection rate of gastric cancer was the highest in southern Anhui. The detection rates of positive lesions in the province increased with age(all P<0.01)， and were higher in male than those in female (all P<0.01). The early diagnosis rate of upper gastrointestinal positive lesions in the group with painless gastroscopy， staining and Helicobacter pylori(Hp) detection was significantly higher than that in the group without painless gastroscopy， staining and Hp detection (all P<0.01). There was no significant difference in the early diagnosis rate between Hp-positive and Hp-negative populations (P>0.05). ［Conclusion］ From 2022 to 2024， the early diagnosis rate of opportunistic screening for upper gastrointestinal cancer in rural areas of Anhui Province showed an increasing trend year by year. However， the early diagnosis rate and detection rate still have a gap from the overall expected goals. It is necessary to further expand the screening coverage， focus on strengthening the screening of males， middle-aged and elderly people， and high-risk groups， popularize knowledge and capabilities of early cancer screening， and improve screening compliance. |
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