2010-2017年遂宁市船山地区上消化道肿瘤发病及早期诊断治疗现况调查  

Investigation on the Incidence and Early Diagnosis and Treatment of Upper Digestive Tract Tumors in Chuanshan District of Suining City From 2010 to 2017

作　　者：刘丹[1] 贾映茂 税方 LIU Dan;JIA Yingmao;SHUI Fang(Suining Central Hospital,Suining 629000,Sichuan Province,China)

机构地区：[1]遂宁市中心医院

出　　处：《预防医学情报杂志》2020年第2期177-181,共5页Journal of Preventive Medicine Information

摘　　要：目的探讨遂宁市船山区2010-2017年上消化道肿瘤发病与早期诊断治疗情况,为制订消化道肿瘤防治策略提供依据。方法2010-2017年采取方便抽样法对遂宁市船山地区上消化道肿瘤进行筛查,采用Excel 2007软件汇总、整理数据,运用SPSS 21.0软件进行数据统计分析,计数资料以百分率“%”表示,采用组间比较四格表法χ^2检验分析早期诊断治疗情况。结果2010-2017年共筛查例数为74751例,检出上消化道肿瘤例数为2659例,检出率为3.56%(2659/74751);男性病例1358例,检出率51.07%(1358/2659),女性病例1301例,检出率48.93%(1301/2659),男女检出比1.04∶1,2010-2017男性合计上消化道肿瘤检出率高于女性合计,差异具有统计学意义(χ^2=36.75,P<0.05);上消化道肿瘤不同部位筛查结果,男性食管癌32.55%、贲门29.29%和胃癌38.37%;女性食管癌26.29%、贲门24.90%和胃癌48.81%,男性食管癌检、贲门检出率高于女性(χ^2=17.931、9.535,P<0.05);而男性胃癌检出率低于女性(χ^2=19.573,P<0.05);上消化道肿瘤早期诊断(恶性肿瘤)趋势从2010年的检出率18.75%升高到2017年的检出率44.46%,2010-2017年上消化道肿瘤治疗率为98.53%。结论遂宁市船山区上消化道肿瘤检出率较高,预防与治疗刻不容缓,早期筛查与诊断、治疗利于对上消化道肿瘤的预防与控制。Objective To investigate the incidence and early diagnosis and treatment of upper gastrointestinal cancer in Chuanshan district of Suining City from 2010 to 2017,so as to provide the basis for formulating the prevention and treatment strategy of digestive tract tumor.Methods From 2010 to 2017,a convenient sampling method was adopted to screen upper gastrointestinal tumors in Chuanshan district.The Excel 2007 software was used to summarize and sort out the data.Statistical analysis was performed by using SPSS 21.0 software with the counting data in percentage“%”.Chi-square test was conducted to analyze the incidence and early diagnosis and treatment of upper digestive tract tumors in the Chuanshan district from 2010 to 2017.Results The total number of screening cases was 74751 in 2010-2017.A total of 2659 cases(detection rate:3.56%)of upper gastrointestinal cancer was detected,including 1358 male cases(detection rate:51.07%)and 1301 female cases(detection rate:48.93%)with male to female detection rate of 1.04∶1.The total detection rate of upper gastrointestinal tumors in males was higher than that in females(χ^2=36.75,P<0.05).The results of upper gastrointestinal cancer in different parts screening were different.In males,the esophageal cancer accounts for 32.55%,cardia accounts for 29.29%,and gastric cancer accounts for 38.37%;esophageal cancer accounts for 26.29%,cardia accounts for 24.90%,and gastric cancer accounts for 48.81%in females.The detection rate of esophageal cancer and cardia in males was higher than those in females(χ^2=17.931,9.535,P<0.05),whereas the detection rate of gastric cancer in males was lower than that in females(χ2=19.573,P<0.05).The early diagnosis rate of upper gastrointestinal tumors(i.e.,malignant tumors)increased from 18.75% in 2010 to 44.46% in 2017,and the treatment rate of upper gastrointestinal cancer was 98.53% in 2010-2017.Conclusion The detection rate of upper gastrointestinal cancer is high in Chuanshan district.Prevention and treatment are urgent,and early screenin

关 键 词：上消化道肿瘤 发病率 早期诊断治疗 

分 类 号：R181[医药卫生—流行病学]