| 韩颖颖,王 秦,徐 红,等.江苏省南通市癌症筛查工作历程、实施成效与展望[J].中国肿瘤,2026,35(9):671-678. |
| 江苏省南通市癌症筛查工作历程、实施成效与展望 |
| History，Implementation Effectiveness and Future Prospects of Cancer Screening in Nantong City of Jiangsu Province |
| 投稿时间：2026-07-15 |
| DOI：10.11735/j.issn.1004-0242.2026.09.A003 |
|
 |
| 中文关键词: 癌症 筛查 早诊早治 医防融合 江苏 |
| 英文关键词:cancer screening early diagnosis and treatment integration of medical treatment and prevention Jiangsu |
| 基金项目: |
|
| 摘要点击次数: 26 |
| 全文下载次数: 8 |
| 中文摘要: |
| 摘 要：全文以南通市癌症早诊早治工作的发展历程为主线，系统梳理了其从启东肝癌单癌种防治到农村、城市多癌种联合筛查的演进脉络。1972年启东在全国农村率先建立肿瘤登记报告制度，采用甲胎蛋白检测开展肝癌普查，为后来开展的肝癌高危人群筛查奠定基础；1983年启动全球最早的新生儿乙型肝炎疫苗接种随机对照试验，为全国乙型肝炎疫苗接种策略提供关键证据。自2006年起，启东和海门先后实施农村肝癌早诊早治项目，累计随访137 787人次，确诊肝癌485例，早诊率82.06%，治疗率92.78%。2014年南通市启动城市癌症早诊早治项目，覆盖五大癌种，累计风险评估189 506人，确诊癌症325例，筛查人群5年生存率以乳腺癌和结直肠癌最高。在组织管理方面，南通市构建了“疾控中心-医疗机构-基层社区卫生机构”三位一体医防融合服务模式，形成了疾控统筹质控、医院诊断支撑、基层评估随访的整合型架构。未来应推进机会性筛查与组织性筛查相结合，借助人工智能技术实现多源数据互联与智能风险评估，推动筛查精准化、服务智能化与资源均等化。南通市半个多世纪的癌症筛查实践已形成覆盖主要高发癌种的多项目并行早筛体系，为地市级癌症防控体系建设提供了科学依据。 |
| 英文摘要: |
| Abstract： This paper analyzed the development process of early diagnosis and treatment of cancer in Nantong City， systematically tracing its evolution from the prevention and control of liver cancer in Qidong to the joint screening of multiple cancer types in rural and urban areas. In 1972， Qidong took the lead in establishing a tumor registration and reporting system in rural areas nationwide， adopting alpha-fetoprotein detection for liver cancer screening， laying the foundation for subsequent high-risk population screening for liver cancer. In 1983， the world’s earliest randomi-zed controlled trial for neonatal hepatitis B vaccination was initiated in Qidong， providing crucial evidence for the national hepatitis B vaccination strategy. Since 2006， Qidong and Haimen have successively implemented early diagnosis and treatment projects for liver cancer in rural areas， with a total of 137 787 follow-ups and 485 confirmed cases of liver cancer， yielding an early diagnosis rate of 82.06% and a treatment rate of 92.78%. In 2014， Nantong City launched an urban early diagnosis and treatment project for cancer， covering five major cancer types， with a total of 189 506 risk assessments and 325 confirmed cases. The five-year survival rate among the screened population was highest for breast cancer and colorectal cancer. In terms of organizational management， Nantong City has established a trinity medical and preventive service model integrating “disease control center-hospital-community health institutions”， forming an integrated framework that includes CDC quality control coordination， hospital diagnosis support， and grassroots assessment and follow-up. In the future， it is necessary to promote the combination of opportunistic screening and organized screening， utilize artificial intelligence technology to achieve multi-source data interconnection and intelligent risk assessment， and promote precision screening， intelligent services， and equalization of resources. More than half a century of cancer screening practice in Nantong City has formed a multi-project parallel early screening system covering major high-incidence cancer types， providing scientific basis for the construction of a prefecture-level cancer prevention and control system. |
|
在线阅读
查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|