2023年上海市青浦区白鹤社区居民大肠癌筛查结果分析  

Analysis of Colorectal Cancer Screening Results in Baihe Community of Qingpu District of Shanghai in 2023

作　　者：李丽丽 任志华[2] 吴小琼 李利维 吴雅 苗芳 Li Lili;Ren Zhihua;Wu Xiaoqiong;Li Liwei;Wu Ya;Miao Fang(Community Health Service Center in Baihe Town of Qingpu District,Shanghai,201709,China;不详)

机构地区：[1]上海市青浦区白鹤镇社区卫生服务中心,上海201709 [2]上海市青浦区疾病预防控制中心,上海201700

出　　处：《中国初级卫生保健》2025年第4期25-29,共5页Chinese Primary Health Care

基　　金：上海市青浦区卫生健康系统人才培养医苑新星项目(YY2023-63)。

摘　　要：目的:分析2023年上海市青浦区白鹤社区居民大肠癌筛查结果,为后续优化大肠癌筛查策略提供参考依据。方法:采用“上海市白鹤社区居民大肠癌筛查危险度评估问卷”和粪便隐血检测(FOBT)相结合的方式进行大肠癌初步筛查,若居民初步筛查结果为阳性,则需要接受进一步的肠镜检查。结果:参加大肠癌初筛的居民共11121人,初筛阳性率为22.35%,男、女阳性率分别为24.51%、21.02%,不同性别初筛阳性率差异有统计学意义(χ^(2)=57.760,P<0.01);829人参加肠镜检查,肠镜检查依从性为33.36%,男、女依从性分别为36.11%、31.41%,不同性别居民肠镜筛查的依从性差异有统计学意义(χ^(2)=473.453,P<0.05);不同初筛阳性居民参与肠镜筛查的依从性差异有统计学意义(χ^(2)=6.006,P<0.05);镜检结果显示,大肠癌检出率为1.21%,腺瘤检出率为15.92%,总病变检出率为46.68%,FOBT两次阳性者总病变检出率最高,不同FOBT阳性次数居民病变检出率差异有统计学意义(χ^(2)=11.127,P<0.05)。结论:大肠癌筛查对早发现和早治疗具有重要意义,但初筛阳性的居民肠镜检查的依从性较低。需改进大肠癌筛查和肠镜转诊的方式,提升居民初筛和肠镜检查的参与率。OBJECTIVE To analyze the screening results of colorectal cancer in Baihe community of Qingpu District of Shanghai in 2023,and provide a reference basis for subsequent optimization of the screening strategy of colorectal cancer.METHODS The risk assessment questionnaire of colorectal cancer screening and fecal occult blood test(FOBT)were used to carry out primary screening in Shanghai community residents,and further colonoscopy is required.RESULTS There were 11121 participants in this screening,and the positive rate was 22.35%.The positive rates of male and female were 24.51%and 21.02%respectively.There was significant difference in the positive rate of male and female(χ^(2)=57.760,P<0.01).The compliance rate of 829 patients was 33.36%.The compliance rate of men and women was 36.11%and 31.41%respectively.There was significant difference in the compliance rate of different sexes(χ^(2)=473.453,P<0.05).There was a significant difference in the compliance of colonoscopy screening among the residents with different positive results(χ^(2)=6.006,P<0.05),the detection rate of colorectal cancer,adenoma and total lesion was 1.21%,15.92%and 46.68%,respectively.The detection rate of total lesions was the highest in the patients with two positive FOBT.There was a statistically significant difference in the detection rate of different FOBT positive frequencies(χ^(2)=11.127,P<0.05).CONCLUSION Colorectal cancer screening is important for early detection and treatment,but compliance with colonoscopy is low among residents with a positive initial screening test,and there is a need to improve colorectal cancer screening and colonoscopy referrals to increase the participation rate in initial screening and colonoscopy.

关 键 词：大肠癌 筛查 肠镜 依从性 

分 类 号：R735.34[医药卫生—肿瘤]