沈阳市苏家屯地区大肠癌筛查结果分析  

Colorectal Cancer Screening in Sujiatun District,Shenyang City

作　　者：朱佳[1] 刘长浩[2] 赵莹[1] 高娜[1] 向国卿[1] 孙婷[1] 陈瑞涛 孙丽华[4] 

机构地区：[1]辽宁省肿瘤医院,辽宁沈阳110042 [2]武警辽宁省总队医院,辽宁沈阳110034 [3]沈阳市苏家屯区第一人民医院,辽宁沈阳110100 [4]辽宁省肿瘤防治办公室,辽宁沈阳110042

出　　处：《中国肿瘤》2014年第9期748-751,共4页China Cancer

摘　　要：[目的]通过大肠癌早诊早治项目,分析沈阳市苏家屯地区居民大肠癌发病情况。[方法]对苏家屯地区40~74岁人群采用问卷调查和粪便潜血实验免疫金标法（FIT）相结合筛出高危人群,对高危人群进行全大肠镜检查。[结果]目标人群40 157人中接受初筛人数为16 893人,顺应率为42.07%。初筛出高危人群3139人,占筛查人数18.58%。进行肠镜检查1655人,顺应率为52.72%。检出进展期腺瘤、大肠癌及类癌共83例。早诊率为95.18%,治疗率为100%。苏家屯地区居民大肠癌检出率为37.35/10万。[结论]苏家屯地区大肠癌检出率略高于我国农村地区平均水平。大肠癌筛查方案适用于城郊地区开展,可提高大肠癌的早诊率,对提高治愈率及延长生存期有重要意义。[Purpose] Through implementing colorectal cancer screening program,to investigate the incidence of colorectal cancer in the resident in Sujiatun district Shenyang,Liaoning province.[Methods] The population aged 40~74 years in Sujiatun district were selected by questionnaire surveys and fecal occult blood tests immunochemical method（FIT） testing,the high risk people were provided colonoscopy screening. [Results] The target population was 40 157,and 16 893 person accepted the screenings with compliance percentage of 42.07%. A total of 3139 person were defined as high risk population with accounting for 18.98%. And 1655 cases were provided colonoscopy screenings with compliance rate of 52.72%. Eighty-three cases with advanced polyps,colorectal cancer and carcinoid tumor were found. The early diagnosed rate was 95.18%,and received treatment rate was100%. The detection rate of colorectal cancer among the residents in Sujiatun district was 37.35/105.[Conclusion] The detection rate of colorectal cancer cases in the residents in Sujiatun district are above the average level of rural area of China. The colorectal cancer screening program benefits to the suburban area. This program helps diagnosing colorectal cancer at early stage,and plays an important role in prolonging survival in colorectal cancer patients.

关 键 词：大肠癌 筛查 沈阳 

分 类 号：R735.3[医药卫生—肿瘤]