2013—2021年上海市金山区社区居民大肠癌筛查结果分析  

Analyses of colorectal cancer screening results among community residents in Jinshan district,Shanghai,2013—2021

作　　者：朱晓云[1] 高霞[1] 王倩 舒奇[1] ZHU Xiaoyun;GAO Xia;WANG Qian;SHU Qi(Jinshan Center for Disease Prevention and Control,Shanghai 201599,China)

机构地区：[1]上海市金山区疾病预防控制中心,上海201599

出　　处：《实用肿瘤学杂志》2023年第2期112-116,共5页Practical Oncology Journal

基　　金：上海市金山区卫生健康专项科研课题面上项目(编号:JSKJ-KTMS-2022-03)。

摘　　要：目的对2013—2021年上海市金山区大肠癌筛查成效进行分析,为今后改进大肠癌筛查策略提供依据。方法利用Microsoft Access 2010建立2013—2021年金山区大肠癌筛查数据库,并计算和比较不同性别、年龄组居民的初筛阳性率、肠镜检查率和肠镜检查结果。结果2013—2021年,金山区对172244例50~74周岁常住居民开展大肠癌筛查,初筛阳性率为24.28%,其中男性为25.73%,女性为23.34%,两者初筛阳性率差异有统计学意义(χ^(2)=127.145,P<0.001)。16714例初筛阳性居民接受了肠镜检查,肠镜检查率为39.97%,其中男性为40.28%,女性为39.74%,两者肠镜检查率差异无统计学意义(χ^(2)=1.258,P=0.262)。9年间,通过肠镜检查共检出大肠癌90例,检出率为0.54%,检出癌前病变2974例,检出率为17.79%,男性和女性在肠镜检查诊断结果分布上差异有统计学意义(χ^(2)=747.903,P<0.001),不同年龄组居民在肠镜检查诊断结果分布上差异也有统计学意义(χ^(2)=111.769,P<0.001)。结论金山区大肠癌筛查取得了良好成效,但需要进一步动员50~74岁居民参加筛查,不断提高肠镜检查率,增强定点医院肠镜检查和病理诊断能力。Objective The aims of this study were to analyze the effects of colorectal cancer screening in Jinshan district from 2013 to 2021,and to provide a basis for improving colorectal cancer screening strategies in the future.Methods Microsoft Access 2010 was used to establish a screening database of colorectal cancer in Jinshan district from 2013 to 2021,and the rate of primary screening,colonoscopy examination rate and resident colonoscopy diagnosis results of in different genders and age groups were calculated and compared.Results From 2013 to 2021,a total of 172,244 permanent residents aged 50-74 years old were carried out colorectal cancer screening in Jinshan district.The positive rate of primary screening was 24.28%,of which 25.73%was males and 23.34%was females.They had statistically significant(χ^(2)=127.145,P<0.001).A total of 16,714 residents with positive screening results underwent colonoscopy,and the colonoscopy rate was 39.97%,including 40.28%for males and 39.74%for females.There was no significant difference in colonoscopy rates between the two genders(χ^(2)=1.258,P=0.262).In the past 9 years,a total of 90 cases of colorectal cancer were detected through colonoscopy,with a detection rate of 0.54%,and 2,974 cases of precancerous lesions were detected,with a detection rate of 17.79%.There was a significant difference in the distribution of colonoscopy diagnosis results between males and females(χ^(2)=747.903,P<0.001)and there were also significant differences in the distribution of colonoscopy diagnosis results among residents of different age groups(χ^(2)=111.769,P<0.001).Conclusion Colorectal cancer screening has achieved good results in Jinshan district,but it is necessary to further mobilize residents aged 50-74 to participate in the screening,continuously increase the rate of colonoscopy examination,and strengthen the capabilities of colonoscopy examination and pathological diagnosis in designated hospitals.

关 键 词：大肠癌 初筛阳性率 肠镜检查率 金山区 

分 类 号：R73[医药卫生—肿瘤]