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|本期目录/Table of Contents|

2015 - 2016年度南通市城市居民癌症风险评估和筛查结果分析(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2017年20期
页码:
3724-3726
栏目:
基层卫生服务
出版日期:
2017-10-30

文章信息/Info

Title:
Assessment on cancer risk and analysis on screening results of urban residents in Nantong from 2015 to 2016
作者:
徐红王秦
南通市疾病预防控制中心健康教育与慢性病防制科,江苏 南通 226007
Author(s):
XU Hong WANG Qin
Department of Health Education and Chronic Disease Prevention and Control, Nantong Center for Disease Control and Prevention, Nantong Jiangsu 226007, China
关键词:
癌症高风险筛查率检出率早诊早治
Keywords:
Cancer High risk Screening rate Detection rate Early diagnosis and treatment
分类号:
R195.4
DOI:
-
文献标识码:
A
摘要:
目的 了解南通市2015 - 2016年度城市居民癌症高风险率、筛查率和检出率,为持续开展城市癌症早诊早治项目工作提供依据。方法 选取40~69周岁常住户籍居民,采用国家统一的问卷开展有关癌症的流行病学调查和高风险评估。评估出的高风险对象免费接受肺癌、肝癌、上消化道癌(食管癌和胃癌)、结直肠癌和女性乳腺癌的临床筛查。结果 共完成25 056例问卷调查和风险评估,其中肺癌、食管癌、胃癌、肝癌、结直肠癌和女性乳腺癌的高风险人群检出率分别为21.9%、27.6%、26.5%、17.3%、18.5%和7.6%,其中单癌种、两癌种、三癌种、四癌种和五癌种高风险的比例依次为24.0%、14.2%、9.5%、5.2%和2.3%。男性居民各部位癌种高风险率及多部位癌种高风险率均显著高于女性。各部位癌种高风险率及多部位癌种高风险率随年龄逐渐升高。癌症高风险人群筛查参与率分别为肺癌30.0%、食管癌1.7%、胃癌12.5%、肝癌36.2%、结直肠癌8.8%和乳腺癌56.9%。肺部阳性病例共63例,检出率3.8%。胃部阳性病例27例,检出率3.3%。肝脏AFP升高23例,肝脏阳性病例3例,检出率分别为1.5%和0.1%。结直肠阳性病例37例,检出率9.1%。乳腺阳性病例15例,检出率2.6%。结论 需进一步完善城市癌症早诊早治策略,提高早诊早治效果。
Abstract:
Objective The aim of this study was to evaluate the high risk, screening and detection rate of cancer in residents of Nantong city from 2015 to 2016, in order to provide basis for sustained development project of the early diagnosis and treatment of cancer. Methods Epidemiological survey and high-risk assessment of cancer were conducted on residents from 40 to 69 years old. High-risk assessments were free to involve clinical screening of lung cancer, liver cancer, upper gastrointestinal cancer (esophageal cancer and gastric cancer), colorectal cancer and female breast cancer. Results 25056 cases of questionnaire survey and risk assessment were done to obtain the high-risk rate of lung cancer (21.9%), esophageal cancer (27.6%), gastric cancer (26.5%), liver cancer (17.3%), colorectal cancer (18.5%) and female breast cancer (7.6%). The rate of single cancer, two species, three species, four species and five species were 24.0%, 14.2%, 9.5%, 5.2% and 2.3%, respectively. The rates of high-risk and multiple high-risks for male were significantly higher than those for female. The rates of high-risk and multiple high-risks gradually increased with age. The participation rate of cancer screening was 30% in lung, 1.7% in esophageal carcinoma, 12.5% in gastric cancer, 36.2% in liver cancer, 8.8% in colorectal cancer and 56.9% in breast cancer. The positive cases of lung were 63, with the detection rate 3.8%. The positive cases of gastric were 27, with the detection rate 3.3%. The cases of AFP increasing were 23, with 3 positive liver cases, with the rate 1.5% and 0.1%, respectively. The positive cases of colorectal were 37, with the detection rate 9.1%. The positive cases of breast cancer were 15, with the detection rate 2.6%. Conclusion It is necessary to continue the strategy of early diagnosis and treatment of cancer in city to improve the effect of cancer prevention.

参考文献/References

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备注/Memo

备注/Memo:
基金项目:南通市科技局项目(HS149052)
作者简介:徐红(1979 - ),女,硕士研究生,副主任医师,研究方向:健康教育与慢性病防控
通讯作者:王秦,E-mail:65812618@qq.com
更新日期/Last Update: 2017-10-24