CAJ | 학술논문

目的：分析浙江省2013—2014年城市居民癌症高风险率、筛查率和检出率，为开展癌症早诊早治项目工作提供依据。方法在宁波市和杭州市各选择2个市辖区，动员所有40～69岁常住户籍居民，按照知情同意自愿原则接受有关癌症的流行病学问卷调查和高风险评估。检出的高风险对象免费接受肺癌、肝癌、上消化道癌、女性乳腺癌和大肠癌临床筛查，分析评估癌症的高风险率、筛查率和检出率。结果共完成41547名调查对象有效调查问卷和风险评估，其中肺癌、肝癌、上消化道癌、女性乳腺癌和大肠癌的高风险检出率分别为14.05％、12.58％、23.28％、11.50％和11.82％。单癌种、两癌种、三癌种、四癌种和五癌种同时高风险的比例依次为29.64％、10.97％、3.41％、1.16％和0.38％。五类癌的筛查率分别为肺癌50.91％、肝癌49.16％、上消化道癌19.55％、乳腺癌56.25％和大肠癌21.75％。肺癌或疑似肺癌检出率为2.42％，乳腺筛查 BI - RADS分级4～5级检出率为6.71％，上消化道癌筛查检出率为0.32％，肝癌筛查检出率为0.04％，大肠癌筛查检出率为0.75％。结论需进一步完善城市癌症早诊早治技术方案和管理模式，提高筛查和早诊早治效果。
목적：분석절강성2013—2014년성시거민암증고풍험솔、사사솔화검출솔，위개전암증조진조치항목공작제공의거。방법재저파시화항주시각선택2개시할구，동원소유40～69세상주호적거민，안조지정동의자원원칙접수유관암증적류행병학문권조사화고풍험평고。검출적고풍험대상면비접수폐암、간암、상소화도암、녀성유선암화대장암림상사사，분석평고암증적고풍험솔、사사솔화검출솔。결과공완성41547명조사대상유효조사문권화풍험평고，기중폐암、간암、상소화도암、녀성유선암화대장암적고풍험검출솔분별위14.05％、12.58％、23.28％、11.50％화11.82％。단암충、량암충、삼암충、사암충화오암충동시고풍험적비례의차위29.64％、10.97％、3.41％、1.16％화0.38％。오유암적사사솔분별위폐암50.91％、간암49.16％、상소화도암19.55％、유선암56.25％화대장암21.75％。폐암혹의사폐암검출솔위2.42％，유선사사 BI - RADS분급4～5급검출솔위6.71％，상소화도암사사검출솔위0.32％，간암사사검출솔위0.04％，대장암사사검출솔위0.75％。결론수진일보완선성시암증조진조치기술방안화관리모식，제고사사화조진조치효과。
Objective To investigate cancer high - risk rate,screening rate,detection rate in Zhejiang urban area and to provide the further evidence for cancer screening,early detection and treatment programs. Methods Epidemiological investigation and cancer risk evaluation were launched among 40 - 69 years old residents in Hangzhou and Ningbo city. People who were at high risk of lung cancer,liver cancer,upper digestive tract cancer,female breast cancer and colorectal cancer could receive clinical screening for free. Cancer high risk rates,screening rate and clinical detection rates were calculated. Results A total of 41 547 residents finished questionnaires and cancer risk evaluation. Cancer high risk rates of lung,liver,upper digestive,female breast and colorectal were 14. 05% ,12. 58% ,23. 28% ,11. 50% and 11. 82% , respectively. The rates of people who encountered single,couple,three,four and five types of cancer high risk were 29. 64% ,10. 97% ,3. 41% ,1. 16% ,0. 38% ,respectively. Screening rates for the five types of cancer were 50. 91% for lung cancer,49. 16% for liver cancer,19. 55% for upper digestive tract cancer,56. 25% for female breast cancer and 21. 75% for colorectal cancer. Lung cancer/ suspected lung cancer detection rate was 2. 42% . Breast cancer screening BI- RADS Grade 4 - 5 detection rate was 6. 71% . Upper digestive tract cancer detection rate was 0. 32% . Liver cancer detection rate was 0. 04% . Colorectal cancer detection rate was 0. 75% . Conclusion Technical solutions and program management should be improved to enhance the effect of cancer screening,early detection and treatment programs.