中华肿瘤杂志
中華腫瘤雜誌
중화종류잡지
CHINESE JOURNAL OF ONCOLOGY
2014年
2期
158-160
,共3页
张建功%王福让%张亚冰%全培良%刘曙正%孙喜斌%陆建邦
張建功%王福讓%張亞冰%全培良%劉曙正%孫喜斌%陸建邦
장건공%왕복양%장아빙%전배량%류서정%손희빈%륙건방
食管肿瘤%胃肿瘤%人口特征%普查
食管腫瘤%胃腫瘤%人口特徵%普查
식관종류%위종류%인구특정%보사
Esophageal neoplasms%Stomach neoplasms%Population characteristics%Mass screening
目的 探讨筛查人群年龄、性别和活检率等对于食管癌胃癌检出率和早诊率的影响.方法 选择河南省食管癌9个高发市县,将40～69岁设定为高危人群.排除有胃镜检查禁忌证者,按照国家癌症早诊早治技术方案,对筛查对象的食管、贲门、胃进行内镜检查并做组织学诊断.结果 3年共筛查40 156人,发现各类癌前病变18 459例,占筛查人群的46.0％；癌症916例,检出率为2.3％,其中早期癌763例,早诊率为83.3％.结论 在食管癌、胃癌高发区的高危人群中开展内镜筛查对实施上消化道癌早诊早治是可行的.对于影响筛查效果的相关因素进行探索分析,有助于食管癌、贲门癌和胃癌早诊早治项目的深入开展.
目的 探討篩查人群年齡、性彆和活檢率等對于食管癌胃癌檢齣率和早診率的影響.方法 選擇河南省食管癌9箇高髮市縣,將40～69歲設定為高危人群.排除有胃鏡檢查禁忌證者,按照國傢癌癥早診早治技術方案,對篩查對象的食管、賁門、胃進行內鏡檢查併做組織學診斷.結果 3年共篩查40 156人,髮現各類癌前病變18 459例,佔篩查人群的46.0％；癌癥916例,檢齣率為2.3％,其中早期癌763例,早診率為83.3％.結論 在食管癌、胃癌高髮區的高危人群中開展內鏡篩查對實施上消化道癌早診早治是可行的.對于影響篩查效果的相關因素進行探索分析,有助于食管癌、賁門癌和胃癌早診早治項目的深入開展.
목적 탐토사사인군년령、성별화활검솔등대우식관암위암검출솔화조진솔적영향.방법 선택하남성식관암9개고발시현,장40～69세설정위고위인군.배제유위경검사금기증자,안조국가암증조진조치기술방안,대사사대상적식관、분문、위진행내경검사병주조직학진단.결과 3년공사사40 156인,발현각유암전병변18 459례,점사사인군적46.0％；암증916례,검출솔위2.3％,기중조기암763례,조진솔위83.3％.결론 재식관암、위암고발구적고위인군중개전내경사사대실시상소화도암조진조치시가행적.대우영향사사효과적상관인소진행탐색분석,유조우식관암、분문암화위암조진조치항목적심입개전.
Objective To summarize the results of endoscopic screening of esophageal,gastric cardiac and gastric cancers in the high-risk population,and analyze the influencing factors such as age,gender and biopsy rate on their detection and early diagnosis rates.Methods Nine high incidence cities and counties of esophageal cancer in Henan province were included in this study.People aged 40-69 years were set to the target population.Excluding contraindications for gastroscopy,in accordance with the national technical scheme of early cancer diagnosis and treatment,gastroscopic screening and biopsy pathology for human esophageal,cardiac and gastric cancers were carried out.Results During the 3-year period,a total of 40 156 subjects were screened.Among them,18 459 cases of various precancerous lesions (46.0％) were detected.The cancer detection rate was 2.3％ (916 cases),including 763 cases of early cancers.The diagnosis rate of early cancers was 83.3％.Precancerous lesions were detected in 9297 cases (23.2％) for esophagus and 9162 cases (22.8％) for gastric cardia as well as stomach,respectively.Conclusions The results of this study demonstrate that endoscopic screening is feasible for early detection,diagnosis and treatment of esophageal,gastric cardia and gastric cancers among high risk population in high incidence area.Exploration analysis of relevant affecting factors may help to further improve the screening project for early diagnosis and treatment of those cancers.
