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作 者:王天霄 李静[2] 李海林[1] WANG Tianxiao;LI Jing;LI Hailin(Department of Hepatobiliary Surgery,Qilu Hospital of Shandong University,Jinan 250012,Shandong,China;Affiliated Hospital of Shandong Academy of Medical Sciences,Shandong First Medical University,Jinan 250031,Shandong,China)
机构地区:[1]山东大学齐鲁医院肝胆外科,山东济南250012 [2]山东省医学科学院附属医院,山东第一医科大学,山东济南250031
出 处:《山东大学学报(医学版)》2020年第4期90-94,共5页Journal of Shandong University:Health Sciences
基 金:山东省医学科学院医药卫生科技创新工程(2016)。
摘 要:目的设计并建设结直肠肿瘤早诊早治的社交应用平台及筛查电子问卷,结合肠镜检查方式进行结直肠肿瘤早诊早治临床实践,初步探究该筛查方案可行性。方法利用电子问卷初筛并通过直肠癌早诊早治微信平台给予高风险受试者进一步肠镜检查的建议。对网络电子问卷筛查方案的失访率、阳性检出率及肠镜依从性进行评估。结果平台共收集有效问卷1577份,受试者进行肠镜检查82例,阳性检出29例。参加肠镜人数、阳性检出人数与早癌相关病变检出人数占总参与人数的5.20%、1.84%及0.44%。电子问卷初筛为高风险受试者的肠镜依从性及阳性病变检出率均高于其他组。结论应用社交平台辅助可以提高结直肠高风险人群肠镜依从率,达到筛查结直肠早期肿瘤的效果,电子问卷筛查是进行结直肠肿瘤早诊早治行之有效的手段。Objective To design and establish a social network platform and e-questionnaire for the early screening of colorectal cancer,and to explore the feasibility of the screening scheme.Methods An e-questionnaire survey about colorectal cancer was conducted via Wechat platform,and subjects with high risk were recommended to take enteroscopy.The missing rate of e-questionnaire survey,positive detection rate and enteroscopy compliance were analyzed.Results A total of 1577 e-questionnaires were collected,82 subjects received enteroscopy,and 29 of them were tested positive.The number of subjects taking enteroscopy,positive detection rate and detection rate of early colorectal cancer related lesions was 5.20%,1.84%and 0.44%,respectively.The high-risk subjects screened with e-questionnaire had higher enteroscopy compliance and positive detection rate than other groups.Conclusion The compliance of enteroscopy in people with high colorectal cancer risk can be improved by assistance of social network platform.E-questionnaire can be a feasible way for the early screening of colorectal cancer.
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