肿瘤预防与治疗2019，Vol.32Issue(11)：998-1003,6.DOI:10.3969/j.issn.1674-0904.2019.11.009
河北磁县上消化道癌早诊早治项目内镜筛查结果分析
Endoscopic Screening Results of Upper Gastrointestinal Cancer in the Ear-ly Diagnosis and Treatment Program in Ci County,Hebei Province
摘要
Abstract
Objective:To summarize and analyze the endoscopic screening results of 8,149 asymptomatic patients. Methods:Endoscopic screening data of high-risk people aged 40-69 in Ci county from 2011 to 2013 were reviewed, and the detection rate of upper gastrointestinal cancer and its precancerous lesions and treatment success rate of positive cases in different genders and ages were calculated. Results:A total of 8,149 cases were included in the analysis, inclu-ding 3,424 males and 4,725 females, with a male to female ratio of 0. 72∶1. In total, 174 positive cases were detected, with a detection rate of 2. 14% (109 males, detection rate:3. 18% ;65 females, detection rate:1. 38% ). The early diagnosis rate was 91. 38% , the treatment success rate of 86. 21% , and the treatment success rate of endoscopy was 48. 43% . Among the 174 patients aged 44-70 years (average 60 years), 109 were males and 65 were females, with a male to female ratio of 1. 68∶1. In all cases of upper gastrointestinal cancer, the proportion of patients aged 60 -64 was the highest (35. 06% , 61／174), followed by those aged 55 -59 (27. 01% , 47／174) and 65-69 (20. 11% , 35／174), respectively. A total of 111 positive cases were detected in esopha-gus (63. 79% , 111／174), 42 in cardia (24. 14% , 42／174), and 21 in stomach (12. 07% , 21／174). Conclusion:There are a large number of asymptomatic 40-69-year-olds with upper gastrointestinal cancer and precancerous lesions in Ci Coun-ty where the incidence of esophageal cancer is high. The detection rate is closely related to gender and age. Endoscopic screening for high-risk population can effectively detect upper gastrointestinal cancer and its precancerous lesions from an ear-ly stage, and reduce the incidence and mortality of upper gastrointestinal cancer through timely intervention and treatment.关键词
上消化道癌/内镜筛查/磁县Key words
Upper gastrointestinal cancer/Endoscopic screening/Ci County分类
医药卫生引用本文复制引用
杨文清,李学民,陈继理,李爱芳,王伟鹏,暴志芹,杨丽霞,张立玮..河北磁县上消化道癌早诊早治项目内镜筛查结果分析[J].肿瘤预防与治疗,2019,32(11):998-1003,6.基金项目
国家重点研发计划项目(编号:2016YFC1302800、2016YFC0901400) This study was supported by grants from Ministry of Science and Technology of the People's Republic of China(NO.2016YFC1302800,NO.2016YFC0901400) . （编号:2016YFC1302800、2016YFC0901400）
