2015—2021年北京市通州区结直肠癌早诊早治筛查结果分析  

Analysis of Screening Results of Colorectal Cancer in Tongzhou District of Beijing,2015—2021

作　　者：杜倩 邵春昕[1] 邹赤群[1] 刘思佳[1] 杨冬梅[1] DU Qian;SHAO Chunxin;ZOU Chiqun;LIU Sijia;YANG Dongmei(Tongzhou Center for Disease Control and Prevention,Beijing 101100,China)

机构地区：[1]北京市通州区疾病预防控制中心,北京101100

出　　处：《中国肿瘤》2023年第9期698-702,共5页China Cancer

摘　　要：[目的]分析2015—2021年北京市通州区结直肠癌早诊早治筛查结果,为辖区结直肠癌预防控制策略的制定提供参考。[方法]2015—2021年,根据北京市农村癌症早诊早治项目方案要求,在通州区抽取40~74岁的常住居民,通过问卷评估和粪便潜血试验初筛获得结直肠癌高危人群,对高危人群开展临床结直肠镜筛查,计算结直肠癌高危率、临床筛查依从率以及病变检出率。[结果]通州区共22936名居民纳入项目,结直肠癌总体高危率为41.36%,女性高于男性(P<0.001),50~59岁人群高危率最高。2015—2019年高危率持续处于较高水平,2020—2021年高危率有所下降(P<0.001)。共有4639人进行肠镜检查,依从率为48.90%,男性依从率高于女性(P<0.05)。通州区结直肠癌、进展期腺瘤、非进展期腺瘤及非腺瘤性良性病变的检出率分别为0.56%、3.41%、17.22%和23.82%,男性各类型病变的检出率均高于女性,非进展期腺瘤、结直肠癌的检出率均随年龄增长呈上升趋势(P<0.05)。[结论]北京市通州区居民具有较高的结直肠癌患病风险,筛查依从率较高,肠道早期病变发现比例较高,结直肠癌早诊早治具有良好效果。[Purpose]To analyze the screening results of early diagnosis and treatment of colorectal cancer program in Tongzhou District of Beijing from 2015 to 2021.[Method]According to the early cancer diagnosis and treatment program,permanent residents aged 40~74 years old in rural areas were enrolled from 2015 to 2021.The high-risk of colorectal cancer was screened by questionnaire assessment and fecal immunochemical occult blood test,and the high-risk subjects were required for colonoscopy.The high risk rate of colorectal cancer,colonoscopy compliance rate and detection rate of lesion were analyzed.[Results]A total of 22936 residents participated in the screening program.The overall high risk rate of colorectal cancer was 41.36%,the risk rate in female was higher than that in male(P<0.001);people of 50 to 59 years old had the highest high risk rate;the high risk rates were higher in 2015—2019 than that in 2020—2021(P<0.001).The colonoscopy was performed in 4639 cases with a compliance rate was 48.90%,the compliance in male was higher than that in female(P<0.05).The detection rates of colorectal cancer,advanced adenoma,non-advanced adenoma and non-adenomatous lesions were 0.56%,3.41%,17.22%and 23.82%,respectively.The detection rates of all types of lesions in male were higher than those in female,and the detection rates of non-advanced adenoma and colorectal cancer increased with the increase of age(P<0.05).[Conclusion]Residents in Tongzhou District have a relative high risk of colorectal cancer,the screening compliance rate and the proportion of detection in early intestinal lesions is high,which is beneficial for early diagnosis and treatment of colorectal cancer.

关 键 词：结直肠癌 筛查 早诊早治 北京 

分 类 号：R73-31[医药卫生—肿瘤] R735.3[医药卫生—临床医学]