摘要
目的分析太原市2020年城市癌症早诊早治项目人群筛查结果。方法通过整群抽样的方法,以山西省太原市城市社区为研究现场,选取2020年1月至2020年12月年龄为45~74岁的所有常住居民(具有太原市户籍且居住在太原市3年以上)作为研究对象,排除已明确诊断的肿瘤患者及其他正在治疗的有严重内外科疾病患者,通过问卷收集人群基本资料和危险因素等信息,并从项目医院进行临床筛查获取筛查结果,计算人群癌症高危率、阳性病变检出率、疑似病例检出率。结果共有5878名居民参与癌症早诊早治项目筛查,评估为癌症高危人群3003例(51.09%),各癌种阳性病变检出率由低到高分别为肝癌(3.87%,21/542)、上消化道癌(13.88%,78/562)、结直肠癌(15.78%,71/450)、乳腺癌(25.79%,122/473)、肺癌(54.92%,536/976),其中,男性除肺癌、肝癌阳性病变检出率均高于女性外,其余癌种均低于女性;各癌种疑似病例检出率由低到高分别为肝癌(0,0/542)、上消化道癌(0.55%,3/562)、肺癌(0.71%,7/976)、乳腺癌(2.75%,13/473)、结直肠癌(3.11%,14/450),其中,男性肺癌疑似病例检出率高于女性,上消化道癌、结直肠癌疑似病例检出率低于女性。结论太原市2020年开展癌症早诊早治项目过程中,群众参与积极性、依从性较好,但阳性病变检出率与疑似病例检出率处于较高水平,癌症防控形势不容忽视,需做好进一步的宣传教育,同时探索更合理的筛查方式,从而更好地提升癌症筛查效果。
Objective To analyze the screening results of urban cancer early diagnosis and early treatment project in Taiyuan City in 2020.Methods Based on the method of cluster sampling,taking the urban community of Taiyuan City,Shanxi Province as the research site,all permanent residents aged 45-74 years(with local household registration and living in the local area for over 3 years)from January 2020 to December 2020 were selected.The cancer patients with confirmed diagnosis and those with severe medical and surgery diseases receiving treatment were excluded.The basic data and risk factors of the population were collected through questionnaires and the screening results were obtained from clinical screening in the project hospitals,and then the high risk rate of cancer,the detection rate of positive lesions,and the detection rate of suspected cases were calculated.Results A total of 5878 people participated in the screening of cancer early diagnosis and early treatment project.Among them,a total of 3003 people(51.09%)were evaluated as a high-risk group of cancer.The sequence from low to high of positive detection rates of different cancers was listed as follow:liver cancer(3.87%,21/542),upper gastrointestinal cancer(13.88%,78/562),colorectal cancer(15.78%,71/450),breast cancer(25.79%,122/473),and lung cancer(54.92%,536/976).Among them,the detection rate of positive lesions of lung cancer and liver cancer in males was higher than that in females,while the detection rate of positive lesions of the remaining cancer types in males was lower than that in females.The detection rates of suspected cases of various cancer types from low to high were listed as follow:liver cancer(0,0/542),upper gastrointestinal cancer(0.55%,3/562),lung cancer(0.71%,7/976),breast cancer(2.75%,13/473)and colorectal cancer(3.11%,14/450).Among them,the detection rate of suspected cases of lung cancer in males was higher than that in females,and the detection rate of suspected cases of upper gastrointestinal cancer and colorectal cancer in males was lower than that in females.Conclusions In the process of carrying out the project of early diagnosis and early treatment of cancer in Taiyuan in 2020,the public participation enthusiasm and compliance are good,but the detection rate of positive lesions and suspected cases are at a high level.The prevention and control of cancer cannot be ignored.Further publicity and education should be done,and more reasonable screening methods should be explored,so as to better improve the effect of cancer screening.
作者
杜欢
王昕琛
于磊
Du Huan;Wang Xinchen;Yu Lei(Office of Anti-Cancer Association,Shanxi Province Cancer Hospital,Shanxi Hospital Affiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030013,China;Office of Tumor Prevention and Control,Shanxi Province Cancer Hospital,Shanxi Hospital Affiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030013,China;Department of Breast Surgery,Shanxi Province Cancer Hospital,Shanxi Hospital Affiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030013,China)
出处
《肿瘤研究与临床》
CAS
2023年第8期592-595,共4页
Cancer Research and Clinic
关键词
肿瘤
早期诊断
筛查
城市居民
Neoplasms
Early diagnosis
Screening
Urban residents
