中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2012年
2期
155-157
,共3页
王灿阳%刘维波%邹德龄%许群英%柳育明%孙丰裕%林金乐
王燦暘%劉維波%鄒德齡%許群英%柳育明%孫豐裕%林金樂
왕찬양%류유파%추덕령%허군영%류육명%손봉유%림금악
大肠癌%筛查%晋江
大腸癌%篩查%晉江
대장암%사사%진강
Colorectal cancer%Screening%Jinjiang
目的 通过大肠癌早期筛查项目,使大肠癌能够早期发现、早期诊断、早期治疗,提高大肠癌生存率,降低发病率和死亡率,并为全市大肠癌筛查积累经验.方法 根据卫生部专家组制定的《中国癌症筛查及早诊早治指南》,采用病史问卷调查,大便隐血试验(FOBT)进行初筛,在此基础上对初筛出来的高危人群用电子肠镜作进一步检查.结果 2011年分别对西滨镇、紫帽镇及内坑镇进行了筛查,40～ 74岁应检对象为10116人,实际接受筛查了2631人,顺应率为26％,初筛出高危人群257例,占筛查人数的9.8％,进行肠镜检查86例,顺应率为33％(86/257).检出大肠病变22例,检出率8.6％(22/257).经病理切片证实,腺瘤20例,腺癌2例.接受治疗22例,占应治疗数的100％.结论 开展大肠癌早期筛查,对降低大肠癌死亡率和发病率,提高患者治愈率和延长生存期具有重要意义.
目的 通過大腸癌早期篩查項目,使大腸癌能夠早期髮現、早期診斷、早期治療,提高大腸癌生存率,降低髮病率和死亡率,併為全市大腸癌篩查積纍經驗.方法 根據衛生部專傢組製定的《中國癌癥篩查及早診早治指南》,採用病史問捲調查,大便隱血試驗(FOBT)進行初篩,在此基礎上對初篩齣來的高危人群用電子腸鏡作進一步檢查.結果 2011年分彆對西濱鎮、紫帽鎮及內坑鎮進行瞭篩查,40～ 74歲應檢對象為10116人,實際接受篩查瞭2631人,順應率為26％,初篩齣高危人群257例,佔篩查人數的9.8％,進行腸鏡檢查86例,順應率為33％(86/257).檢齣大腸病變22例,檢齣率8.6％(22/257).經病理切片證實,腺瘤20例,腺癌2例.接受治療22例,佔應治療數的100％.結論 開展大腸癌早期篩查,對降低大腸癌死亡率和髮病率,提高患者治愈率和延長生存期具有重要意義.
목적 통과대장암조기사사항목,사대장암능구조기발현、조기진단、조기치료,제고대장암생존솔,강저발병솔화사망솔,병위전시대장암사사적루경험.방법 근거위생부전가조제정적《중국암증사사급조진조치지남》,채용병사문권조사,대편은혈시험(FOBT)진행초사,재차기출상대초사출래적고위인군용전자장경작진일보검사.결과 2011년분별대서빈진、자모진급내갱진진행료사사,40～ 74세응검대상위10116인,실제접수사사료2631인,순응솔위26％,초사출고위인군257례,점사사인수적9.8％,진행장경검사86례,순응솔위33％(86/257).검출대장병변22례,검출솔8.6％(22/257).경병리절편증실,선류20례,선암2례.접수치료22례,점응치료수적100％.결론 개전대장암조기사사,대강저대장암사망솔화발병솔,제고환자치유솔화연장생존기구유중요의의.
Objective To discover,diagnose and treat colorectal cancer in the early period and further improve the survival rate,reduce morbidity and mortality of the colorectal cancer by early screening for colorectal cancer in Jinjiang.Methods According to “The Guide of Cancer Screening and Early Diagnosis and Treatment in China by the Experts Group of Ministry of Health”,the case history was collected while the stool occult blood and FOBT were detected to discover high risk crowd who then inspected by electron enterscope.Results The screening was practiced in Xibin,Zimao and Neikeng town respectively.The crowd of 40-74 years old was 10 116 and 2631 of them accepted screening(acclimation rate,26％).Two hundred and fifty-seven high-risk people were discovered(9.8％ of 2631)and 86 of them(acclimation rate,33％,86/257)were inspected by electron enterscope.Twenty-two cases were detected with colorectal affection(detection rate,8.6％,22/257),20 cases were diagnosed as colorectal adenoma and 2 cases were diagnosed as adenocarcinoma by pathological section.All of them accepted therapy.Conclusion Carrying out early screening for colorectal cancer is important.It can reduce morbidity and mortality of the colorectal cancer and then improve the cure rate and prolong survival in patients with colorectal cancer.
