摘要
目的回顾调查经爱康国宾西直门分院健康体检检出的病例特点,探讨爱康国宾体检分院健康体检对于癌症筛查和早期发现的效果,着重评价其中肠癌、前列腺癌和乳腺癌的效果。方法 2019年爱康国宾西直门分院共完成体检158807人次,回顾其中23821名阳性随访病例,在Access2007中通过其基本信息与北京市肿瘤医院(原肿瘤研究所)管理的肿瘤登记系统进行链接,获得确诊癌症病例情况,应用SPSS 21.0进行数据分析癌症检出率、检出顺位、年龄分布、性别分布与上一年度比例等指标和北京市人群同瘤别发病率比较,年龄分布以10岁为一个年龄组分段计算检出率。结果年龄分布显示,20~29、30~39岁年龄段体检例数较多,60~69岁年龄段检出率最高;性别分布显示,女性检出率高于男性,差异有统计学意义(P=0.006);本院2019年癌症检出率前十位为甲状腺癌、乳腺癌、肺癌、宫颈癌、肾癌、肝癌、前列腺癌、直肠癌、结肠癌、胰腺癌,与2018年检出率比较差异无统计学意义;与2017年北京市发布的2016年度男性肿瘤发病率比较,我院2019年男性肺癌、肝癌、结直肠癌、膀胱癌、胃癌的检出率降低,差异有统计学意义,与2017年北京市发布的2016年度女性肿瘤发病率比较,我院2019年女性肺癌、子宫体癌、卵巢癌的检出率降低,差异有统计学意义。结论建议在体检项目中增加便隐血检测,提高便隐血检测和肛门指检的参与率,以提高体检人群对肠癌筛查手段的知晓率和肠癌、前列腺癌的检出率,健康体检对乳腺癌的早期发现是有效的。
Objective To study the importance of cancer screening and early discovery of colorectal cancer,prostate cancer and breast cancer during routine physical examinations.Methods 23 821 positive follow-up cases out of the total 158 807 physical examinees were selected in Xizhimen Branch Hospital of Aikang Guobin in 2019.The confirmed cases of tumor were obtained based on basic information by linking with the cancer registration system of Beijing Center for Disease Control and Prevention.SPSS 21.0 was used for data analysis.The tumor detection rate,order of detection,age distribution,gender distribution and previous proportions were calculated by a 10-year interval.Results In terms of age distribution,there were more physical examinees in the age groups of 20 to 29 and 30 to 39,and the detection rate was the highest in the age group of 60 to 69;The detection rate of cancer among females was higher than among males,and the difference was statistically significant(P=0.006).The top ten cancers in 2019 were thyroid cancer,breast cancer,lung cancer,cervical cancer,renal cell carcinoma,liver cancer,prostate cancer,rectal cancer,colon cancer and pancreatic cancer.There was no significant difference in the detection rate of cancers between 2018 and 2019.Compared with 2017,the incidence of lung cancer,liver cancer,colorectal cancer,bladder cancer and gastric cancer among males detected in our hospital in2019 significantly decreased,so did the incidence of lung cancer,uterine body cancer and ovarian cancer among females.Conclusion It is recommended that recessive fecal bleeding detection and anal finger examination should be included in physical examinations,which are effective for early detection of lung cancer and breast cancer.
作者
周锡江
崔贵新
朱晓全
蔡智波
ZHOU Xijiang;CUI Guixin;ZHU Xiaoquan;CAI Zhibo(Main Inspection Room,Aikang Guobin Medical Examination Center,Beijing 100032,China;不详)
出处
《空军医学杂志》
2021年第6期522-526,共5页
Medical Journal of Air Force
关键词
体格检查
评价研究
早期发现
physical examination
evaluation research
early detection
