上海松江区某社区居民大肠癌筛查结果分析(1)
摘 要 目的：分析2017-2019年上海市松江區泗泾镇50～74岁居民大肠癌筛查结果，为今后大肠癌筛查工作提供基础数据。方法：采用问卷危险度评估和便隐血检测(FOBT)联合初筛方法对社区9 832名50～74岁居民进行大肠癌筛查，危险度评估为阳性或2次便隐血试验中任意1次检查结果阳性即判定为初筛阳性，对初筛出的阳性人群建议至定点医院进行肠镜检查。结果：在9 832名筛查对象中，初筛阳性者3 317人，初筛阳性率33.74%；初筛阳性者中有886例接受肠镜检查，肠镜检查率为26.71%(886/3 317)，肠镜检查出癌前期病变266例，癌前期病变检出率为30.02%(266/886)。确诊大肠癌9例，大肠癌检出率为91.54/105(9/9 832)。结论：大肠癌筛查对于大肠癌早期发现以及早期治疗有积极作用，但是初筛阳性居民肠镜检查顺应性较差，应在今后的工作中要加强宣传，提高肠镜检查顺应性。
关键词 大肠癌；筛查；社区；肠镜
中图分类号：R73 文献标志码：A 文章编号：1006-1533(2020)20-0054-04
Analysis of colorectal cancer screening results of residents in a community of Songjiang District， Shanghai
XU Chengmei1， GU Fenying2， QIAN Yanqin2
(1.Department of Community of Sijing Community Health Service Center of Songjiang District， Shanghai 201601， China； 2. Department of Prevention and Health Care of Sijing Community Health Service Center of Songjiang District， Shanghai 201601， China)
ABSTRACT Objective： To analyze the results of colorectal cancer screening of residents aged 50-74 in Sijing Town， Songjiang District， Shanghai from 2017 to 2019， and provide basic data for future colorectal cancer screening. Methods： A preliminary screening method of a combination of risk assessment and fecal occult blood test(FOBT) was used to screen colorectal cancer for 9 832 residents aged 50-74 years in the community. If the risk assessment was positive or any one of the two fecal occult blood tests was positive， it was judged as a positive initial screening， and it is suggested that colonoscopy should be carried out in designated hospitals for screening positive people. Results： Among the 9 832 screening subjects， 3 317 people were initially screened positive， and the initial screen positive rate was 33.74%； 886 of the screening positive patients received colonoscopy， and the rate of colonoscopy was 26.71%(886/3 317). Two hundred and sixty-six cases of precancerous lesions were detected by colonoscopy， and the detection rate of precancerous lesions was 30.02%(266/886). Nine cases of colorectal cancer were diagnosed， and the detection rate of colorectal cancer was 91.54/105(9/9832). Conclusion： Colorectal cancer screening has a positive effect on the early detection and treatment of colorectal cancer， but the initial screening positive residents have low compliance with colonoscopy， and the propaganda should be strengthened to improve the compliance of colonoscopy in the future work.
KEY WORDS colorectal cancer； screening； community； colonoscopy, 百拇医药(许成美 顾芬英 钱燕琴)
关键词 大肠癌；筛查；社区；肠镜
中图分类号：R73 文献标志码：A 文章编号：1006-1533(2020)20-0054-04
Analysis of colorectal cancer screening results of residents in a community of Songjiang District， Shanghai
XU Chengmei1， GU Fenying2， QIAN Yanqin2
(1.Department of Community of Sijing Community Health Service Center of Songjiang District， Shanghai 201601， China； 2. Department of Prevention and Health Care of Sijing Community Health Service Center of Songjiang District， Shanghai 201601， China)
ABSTRACT Objective： To analyze the results of colorectal cancer screening of residents aged 50-74 in Sijing Town， Songjiang District， Shanghai from 2017 to 2019， and provide basic data for future colorectal cancer screening. Methods： A preliminary screening method of a combination of risk assessment and fecal occult blood test(FOBT) was used to screen colorectal cancer for 9 832 residents aged 50-74 years in the community. If the risk assessment was positive or any one of the two fecal occult blood tests was positive， it was judged as a positive initial screening， and it is suggested that colonoscopy should be carried out in designated hospitals for screening positive people. Results： Among the 9 832 screening subjects， 3 317 people were initially screened positive， and the initial screen positive rate was 33.74%； 886 of the screening positive patients received colonoscopy， and the rate of colonoscopy was 26.71%(886/3 317). Two hundred and sixty-six cases of precancerous lesions were detected by colonoscopy， and the detection rate of precancerous lesions was 30.02%(266/886). Nine cases of colorectal cancer were diagnosed， and the detection rate of colorectal cancer was 91.54/105(9/9832). Conclusion： Colorectal cancer screening has a positive effect on the early detection and treatment of colorectal cancer， but the initial screening positive residents have low compliance with colonoscopy， and the propaganda should be strengthened to improve the compliance of colonoscopy in the future work.
KEY WORDS colorectal cancer； screening； community； colonoscopy, 百拇医药(许成美 顾芬英 钱燕琴)