2013—2022年福建省上消化道癌早诊早治结果分析  

Result Analysis of Rural Early Diagnosis and Treatment Program for Upper Gastrointestinal Cancer in Fujian Province from 2013 to 2022

作　　者：林永添[1] 马晶昱 相智声 黄永迎 温烨莹 周衍[1] LIN Yongtian;MA Jingyu;XIANG Zhisheng;HUANG Yongying;WEN Yeying;ZHOU Yan(Clinical Oncology School of Fujian Medical University,Fujian Cancer Hospital,Fujian Key Laboratory of Advanced Technology for Cancer Screening and Early Diagnosis,Fuzhou 350014,China)

机构地区：[1]福建医科大学肿瘤临床医学院,福建省肿瘤医院,福建省肿瘤早筛早诊前沿技术重点实验室,福建福州350014

出　　处：《中国肿瘤》2024年第11期908-914,共7页China Cancer

基　　金：福建省引导性科技计划项目(2022Y0055)。

摘　　要：[目的]分析2013—2022年福建省农村上消化道癌早诊早治项目的初筛和随访结果。[方法]收集整理2013—2022年福建省农村上消化道癌早诊早治项目筛查数据,计算筛查人群的上消化道癌阳性病例检出率、早诊率和治疗率。利用SPSS 22.0软件对检出率、早诊率和治疗率年度变化进行趋势χ^(2)检验;对不同组间检出率、早诊率比较采用χ^(2)检验。[结果]2013—2022年福建省农村上消化道癌早诊早治项目共完成26823人次筛查和随访,检出率、早诊率、治疗率分别为1.41%、56.20%、92.61%,2013—2022年早诊率呈现上升趋势(P<0.05),初筛检出率、早诊率分别为1.38%、55.59%,随访检出率、早诊率分别为5.36%、75.00%。食管、贲门和胃部阳性病例检出率分别为0.70%、0.15%、0.58%,早诊率分别为64.86%、53.66%、46.41%,各部位阳性病例检出率和早诊率差异均有统计学意义(P均<0.05)。[结论]随着福建省农村上消化道癌早诊早治项目开展及居民防癌意识的提升,福建省上消化道癌检出率和早诊率均有提高,对提高患者生存率具有重要作用。[Purpose]To analyze the preliminary screening and follow-up results of the early diagnosis and treatment program for upper gastrointestinal cancer in rural areas of Fujian Province from2013 to 2022.[Methods]Screening data from the early diagnosis and treatment program for upper gastrointestinal cancer in Fujian Province from 2013 to 2022 were collected and organized.The positive case detection rate,early diagnosis rate,and treatment rate of the screening population were calculated.SPSS 22.0 software was used to test the trend Chi-square test of the annual changes in detection rate,early diagnosis rate and treatment rate.The Chi-square test was used to compare the detection rate and early diagnosis rate between different groups.[Results]From 2013to 2022,a total of 26823 screenings and follow-ups were completed in Fujian Province,with detection rate,early diagnosis rate,and treatment rate of 1.41%,56.20%,and 92.61%,respectively.The early diagnosis rate showed an increasing trend from 2013 to 2022(P<0.05).The initial screening detected rate and early diagnosis rate were 1.38%and 55.59%,respectively,while follow-up detection rate and early diagnosis rate were 5.36%and 75.00%.The detection rates for esophagus,cardia,and stomach cases were 0.70%,0.15%,and 0.58%,respectively,with early diagnosis rates of 64.86%,53.66%,and 46.41%,respectively.The differences in detection rates and early diagnosis rates for each site were statistically significant(all P<0.05).[Conclusion]With the development of early diagnosis and treatment of upper gastrointestinal cancer in rural areas of Fujian Province and the improvement of residents’awareness of cancer prevention,the detection rate and early diagnosis rate of upper gastrointestinal cancer in Fujian Province have been improved,which plays an important role in improving the survival rate of patients.

关 键 词：上消化道癌 早诊早治 筛查 福建 

分 类 号：R73-31[医药卫生—肿瘤] R735[医药卫生—临床医学]