陕西省2019-2020年城市癌症早诊早治项目筛查结果分析  

Results of the cancer screening program in urban areas in Shaanxi province of China,2019-2020

作　　者：陈勇 宋本华 李刚 陈彭[4] 黄山平 廖子君 徐瑞 李彦蓉 Chen Yong;Song Benhua;Li Gang;Chen Peng;Huang Shanping;Liao Zijun;Xu Rui;Li Yanrong(Department of Endoscopy Center,Shaanxi Cancer Hospital,Xi'an 710061,China;Department of Society Management,Shaanxi Cancer Hospital,Xi'an 710061,China;Department of Pediatric Emergency and PICU,Northwest Women and Children's Hospital,Xi'an 710061,China;Department of Neurology,The First Hospital of Yulin City,Yulin 719000,China;Department of Medical Oncology,Shaanxi Cancer Hospital,Xi'an 710061,China)

机构地区：[1]陕西省肿瘤医院内镜中心,西安710061 [2]陕西省肿瘤医院学会管理部,西安710061 [3]西北妇女儿童医院儿科急诊与PICU,西安710061 [4]榆林市第一医院神经内科,榆林719000 [5]陕西省肿瘤医院内一科,西安710061

出　　处：《中华肿瘤杂志》2024年第10期948-953,共6页Chinese Journal of Oncology

基　　金：北京华夏肿瘤防治研究院消化道早癌医师共同成长计划(GTCZ-2020-SX-61-0001)。

摘　　要：目的分析陕西省2019—2020年城市癌症早诊早治项目的筛查情况。方法城市癌症早诊早治项目针对城市地区5类高发恶性肿瘤(乳腺癌、肺癌、上消化道癌、肝癌、结直肠癌)开展高危人群筛查。选择陕西省3个人口超过100万的地级市(西安市、宝鸡市、商洛市),各选择工作基础较好的4个社区,面向年龄45~74岁一般人群,在知情同意、自愿的原则下进行相关恶性肿瘤流行病学问卷调查,对问卷评估出的高风险人群再进行免费内镜、超声、CT等临床筛查。分析以上5种恶性肿瘤的高风险率、筛查依从率及阳性检出率。结果共19632人有效完成调查,男性参与筛查的比例(40.0%)低于女性(60.0%)。共评估出高危人群10102人,初筛高风险率51.5%,5类癌种的高风险率分别为乳腺癌24.1%、肺癌28.6%、上消化道癌9.1%、肝癌4.0%、结直肠癌20.0%。初筛被评估为高危人群的14960人次中,共5129人次接受临床筛查,筛查依从率为34.3%。5类癌种接受临床筛查的人次和筛查依从率分别为乳腺癌1192人次(41.9%)、肺癌2081人次(37.1%)、上消化道癌574人次(32.0%)、肝癌404人次(51.3%)、结直肠癌878人次(22.3%),阳性检出人次和检出率分别为乳腺179人次(15.0%)、肺289人次(13.9%)、上消化道9人次(1.6%)、肝14人次(3.5%)、结直肠67人次(7.6%)。结论陕西省城市癌症早诊早治项目有利于发现癌前病变和早癌患者,提高患者早诊早治率,但群众参与率不高,需进一步完善项目管理模式与技术方案。Objective Analyze the cancer screening status of the cancer screening program in urban areas in Shaanxi province in 2019-2020.Methods The early diagnosis and early treatment project for urban cancers carried out high-risk population screening for 5 types of high-incidence malignant tumors(breast cancer,lung cancer,upper gastrointestinal cancer,liver cancer,and colorectal cancer)in urban areas.Three prefecture-level cities in Shaanxi province with a population of over 1 million(Xi'an,Baoji,and Shangluo)were selected,and 4 communities with a relatively good working foundation were selected in each city.The general population aged 45-74 years was surveyed on the principles of informed consent and voluntariness,and high-risk groups identified through the questionnaire were further subjected to free endoscopy,ultrasound,CT,and other clinical screenings.The high-risk rates,screening compliance rates,and positive detection rates of the above 5 types of malignant tumors were analyzed.Results A total of 19632 people completed the survey effectively,with the proportion of male participants(40.0%)lower than that of females(60.0%).A total of 10102 high-risk groups were identified,with an initial screening high-risk rate of 51.5%,and the high-risk rates for the 5 types of cancers were 24.1%for breast cancer,28.6%for lung cancer,9.1%for upper gastrointestinal cancer,4.0%for liver cancer,and 20.0%for colorectal cancer.Among the 14960 person-time initially assessed as high-risk,5129 person-time received clinical screening,with a screening compliance rate of 34.3%.The number of people receiving clinical screening and the screening compliance rates for the 5 types of cancers were 1192(41.9%)for breast cancer,2081(37.1%)for lung cancer,574(32.0%)for upper gastrointestinal cancer,404(51.3%)for liver cancer,and 878(22.3%)for colorectal cancer,with positive detection numbers and rates of 179(15.0%)for breast,289(13.9%)for lung,9(1.6%)for upper gastrointestinal,14(3.5%)for suspected liver,and 67(7.6%)for colorectal,respectively.Conclus

关 键 词：恶性肿瘤 筛查 城市癌症早诊早治项目 陕西省 

分 类 号：R73-31[医药卫生—肿瘤]