肿瘤预防与治疗2018，Vol.31Issue(1)：41-45,5.DOI:10.3969/j.issn.1674-0904.2018.01.007
2012～2016年四川省阆中市食管癌内镜筛查结果分析
Results of the Endoscopic Screening Program of Esophageal Using Iodine Staining in Langzhong,Sichuan Province,from 2012 to 2016
摘要
Abstract
Objective: To analyze the endoscopic screening results for esophageal cancer in rural population aged 40-69 years in high incidence areas, and to investigate the prevalence, early diagnosis and treatment of esophageal carcinoma and precancerous lesions at all levels. Methods: Cluster random sampling method was adopted to select residents aged 40-69 years from several natural villages as screening objects for upper gastrointestinal endoscopy, iodine staining and biopsy, regarding histopathological diagnosis as final diagnosis in Langzhong, Sichuan Province, from 2012 to 2016.Results: In 2012 ～ 2016, 10102 rural residents aged 40 ～ 69 from 18 villages and towns in Langzhong city were screened The detection rate of esophageal lesions at all levels was 22.73％ (2296/10102);the detection rate of positive cases of esophagus was 1. 77％ (179/10102), while the detection rate of precancerous lesions of esophageal carcinoma was 5.49％ (555/10102). All levels of total examination rate of male esophagus and the detection rate of esophageal precancerous lesions, the rate of positive cases were higher than that of female (9. 36％vs. 5. 44％, 7. 03％vs. 4. 06％, 2. 34％vs. 1. 37％);The detection rates of mild dysplasia, moderate dysplasia, severe dysplasia/carcinoma in situ and invasive carcinoma of the esophagus were higher in males than that in females (5. 81％vs. 3. 42％, 1. 22％vs. 0. 64％, 1. 83％vs. 1. 17％, 0. 38％vs. 0. 14％), and the difference was statistically significant (P < 0. 05). The total detection rate of esophageal lesions at all levels, the positive cases of esophageal precancerous lesions, the detection rate of esophageal and mild dysplasia, moderate dysplasia, severe dysplasia/carcinoma in situ detection rate showed an increasing trend with age, and after the age of 60, the increase was obvious, which the differences were statistically significant (P < 0. 05). Conclusion: The work of endoscopic screening, early diagnosis and early treatment of esophageal cancer in rural residents with high incidence of esophageal cancer in Langzhong City has shown good results, and attention should be paid to the early diagnosis, treatment and follow-up of patients with precancerous lesions.关键词
食管肿瘤/高发区/普查/早诊早治Key words
Esophageal neoplasms/High incidence area/Screening/Early diagnosis and early treatment分类
医药卫生引用本文复制引用
唐潇,曹磊,龙思泽,白一景,何鑫,董灵,赵全德,李胜,蒲世军..2012～2016年四川省阆中市食管癌内镜筛查结果分析[J].肿瘤预防与治疗,2018,31(1):41-45,5.基金项目
"十一五"国家科技支撑计划(编号:2006BAI02A15) （编号:2006BAI02A15）
