东台市居民上消化道疾病筛查情况分析  

The Screen for the Upper GI Diseases in Residents of Jiangsu Dongtai

作　　者：赵建华[1] 丁菁华[2] 吴明光[1] 丁海健[1] 

机构地区：[1]江苏省东台市疾病预防控制中心慢病科,江苏东台224200 [2]江苏省东台市妇幼保健院,江苏东台224200

出　　处：《中国慢性病预防与控制》2007年第5期429-431,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的对东台市居民上消化道疾病进行筛查,探讨该地区居民上消化道疾病患病情况。方法采用"隐血珠"初筛、电子胃镜检查及病理确诊的三级检查方法,于2005年8月—2006年9月对东台市30岁以上人群进行上消化道疾病筛查。结果参加″隐血珠″试验初筛者共70809人,占全市总人口的6.13%;经"隐血珠"试验初筛阳性的有28392人,初筛阳性率达40.10%;进行电子胃镜检查的有8121人,占初筛阳性人数的28.60%;经病理检查的有2294人,占胃镜检查人数的28.25%。胃镜诊断慢性浅表性胃炎4636例,糜烂性胃炎1431例,食管炎565例,返流性胃炎394例,慢性萎缩性胃炎339例,可疑癌24例,胃癌53例,食管癌44例。胃镜诊断的97例癌中,病理诊断87例,胃镜诊断癌的假阳性率为10.31%;胃镜诊断的非癌症2197例中,病理诊断为癌的有25例,胃镜诊断癌的假阴性率为1.14%。病理诊断的112例癌症中,早、中期癌症83例,占74.11%。不同性别、地区、年龄居民的筛查结果显示,分布均有统计学意义(P<0.01)。结论东台市上消化道疾病患病率较高,应加大卫生宣传力度,改善农村卫生条件。To know the situation of upper GI diseases among the residents in Dong tai city. Methods With three levels examination methods of Occult Blood Bead Detector, Gastwscope and pathological examination, residents aged over 30 yrs in Dongtai were screened during Aug 2005 to Sept 2006. Results 70 809 residents, about 6.13% of whole city population, were taken the screen with occult blood bead detector. There were about 28 392 people positive; the positive rate was 40.10%. Among the positive people, there were 8 121 people taking gastroscope inspection, and while 2 294 of them also took the pathological examination. The gastroscope results showed that 4 636 people suffered from chronic superficial gastritis, 1 431 rotten gastritis, 565 esophagus gastritis, 339 chronic ＆ atrophic gastritis, 24 suspicious cancers, 53 stomach cancer, 44 esophagus cancer. Of these 97 cases with cancers diagnosed by gastroscope, 87 cases were construed by pathological examination, the false positive rate of gastmscope examination was about 10.31%; Among 2 197 of the non-cancer subjects diagnosed by gastroscope, there were 25 cases with cancer diagnosed by pathological method, the false negative rate of gastroscope was 1.14%. For those 112 cancer cases diagnosed by pathology, there were 83 cases （74.11%） who were in the early or middle phase of cancer. Conclusion The prevalence of upper GI diseases in Dongtai City was higher. It should strengthen the education and the improvement of the health situation.

关 键 词：筛查 隐血试验 真实性 上消化道疾病 恶性肿瘤 

分 类 号：R57[医药卫生—消化系统]