CAJ | 학술논문

目的回顾调查经医院健康体检检出的病例的特点,探讨医院健康体检对于癌症筛查和早期发现的效果,着重评价其中大肠癌和乳腺癌的效果.方法 2011-2012年上海交通大学医学院附属仁济东院体检中心共完成体检170 646人次,回顾其中4 179名阳性随访病例,在Access 2007中通过其基本信息与上海市疾病预防控制中心的肿瘤登记系统进行链接,获得确诊肿瘤病例情况,用Excel 2007分析肿瘤检出率、检出顺位、年龄分布、性别分布和早期比例等指标,年龄分布以10岁为一个年龄组分段计算检出率.结果检出肿瘤81例,检出率47.47/10万;60～69岁年龄段检出率(105.36/10万)最高;男女性别比为1.25∶1;检出病例中确诊大肠癌1例,检出率0.79/10万(1/126 066);乳腺癌11例,检出率17.22/10万(11/63 866),临床分期Ⅰ期比例71％(5/7),高于2005-2009年上海市乳腺癌病例Ⅰ期比例(33％).结论建议在体检项目中增加便隐血检测,提高便隐血检测的参与率,以提高体检人群对大肠癌筛查手段的知晓率和大肠癌的检出率;健康体检筛出乳腺癌的早期比例高于自然人群,表明医院健康体检对乳腺癌的早期发现是有效的.
목적 회고조사경의원건강체검검출적병례적특점,탐토의원건강체검대우암증사사화조기발현적효과,착중평개기중대장암화유선암적효과.방법 2011-2012년상해교통대학의학원부속인제동원체검중심공완성체검170 646인차,회고기중4 179명양성수방병례,재Access 2007중통과기기본신식여상해시질병예방공제중심적종류등기계통진행련접,획득학진종류병례정황,용Excel 2007분석종류검출솔、검출순위、년령분포、성별분포화조기비례등지표,년령분포이10세위일개년령조분단계산검출솔.결과 검출종류81례,검출솔47.47/10만;60～69세년령단검출솔(105.36/10만)최고;남녀성별비위1.25∶1;검출병례중학진대장암1례,검출솔0.79/10만(1/126 066);유선암11례,검출솔17.22/10만(11/63 866),림상분기Ⅰ기비례71％(5/7),고우2005-2009년상해시유선암병례Ⅰ기비례(33％).결론 건의재체검항목중증가편은혈검측,제고편은혈검측적삼여솔,이제고체검인군대대장암사사수단적지효솔화대장암적검출솔;건강체검사출유선암적조기비례고우자연인군,표명의원건강체검대유선암적조기발현시유효적.
Objective To explore the effect of health check-up on screening and early detection of colorectal or breast cancer.Methods A total of 4 179 health check-up receivers were enrolled in this investigation.Basic health information was linked to the Shanghai Cancer Registry System and confirmed cancer diagnosis through Access 2007.Excel 2013 was used to analyze cancer detection rate,ranking,age and sex distribution and early stage proportion.Results During 2011 and 2012,81 cancer cases were identified,with a detection rate of 47.47/100 000.The highest detection rate was found in 60-69 years old group (105.36/100 000),and male:female ratio was 1.25 ∶ 1.One colorectal cancer was diagnosed,resulting in a detection rate of 0.79/100 000.Eleven breast cancers were diagnosed,with a detection rate of 17.22/100 000.Early stage breast cancer accounted for 71％,which was higher than average level between 2005-2009 (33％).Conclusion Detection rate of colorectal cancer among health check-up receivers was very low,which is inconsistent with the high incidence of colorectal cancer in Shanghai.Fecal occult-blood test should be performed during health check-up,which may increase colorectal cancer detection.Moreover,health check-up may contribute to early detection of breast cancer.