2013年上海市黄浦区社区居民大肠癌筛查结果分析
Analysis on colorectal cancer screening results in community residents in Huangpu District of Shanghai, 2013
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摘要:
目的 通过对2013年上海市黄浦区社区居民大肠癌筛查数据的分析，得到筛查对象的初筛和肠镜检查结果，为更科学地开展筛查工作提供依据。
方法 应用SPSS 20.0软件，分析参加2013年筛查的32077例居民的初筛和诊疗信息，通过率或构成比等描述黄浦区居民大肠癌筛查结果。
结果 参加大肠癌筛查的居民平均年龄为（61.52±8.17）岁，其中男性12478名（38.9%），女性19599名（61.1%）。初筛阳性总人数为6868人，阳性率21.4%；男女初筛阳性率差异无统计学意义（21.6% vs 21.3%，χ2=0.29，P=0.589）；初筛阳性率在各年龄段的差异有统计学意义（χ2=127.53，P < 0.001）。1662名初筛阳性对象完成了肠镜检查，其肠镜检查率为24.2%。男女肠镜检查率差异有统计学意义，男性高于女性（25.6% vs 23.3%，χ2=6.42，P=0.010）。1662例肠镜检查对象中有1020例有活检结果，其中：证实为癌的57人，占到有活检结果总数的5.6%；癌前病变328人，占32.2%；息肉254人，占24.9%；肠炎343人，占33.6%。
结论 黄浦区社区居民筛查有一定的效果，但肠镜检查率偏低，需进一步通过宣传和政策保障提高居民肠镜检查率。
Abstract:Objective To analyze the data from a colorectal cancer screening program for community residents in Huangpu District of Shanghai in 2013, obtain the results of primary screening and colonoscopy of the participants, and provide a basis for future colorectal cancer screening.
Methods Data from the primary screening and diagnostic tests of 32077 participants involved in the colorectal cancer screening program for selected communities were analyzed using SPSS 20.0 software to describe the results of the screening program.
Results The mean age of the subjects was (61.52±8.17) years. A total of 12 478 (38.9%) men and 19 599 (61.1%) women were in cluded in the colorectal cancer screening program. Among the 6868 subjects with positive primary screening results, no significant gender difference was observed (21.6% vs 21.3%, χ2=0.29, P=0.589). There was a significant difference across age groups (χ2=127.53, P < 0.001). Besides, 1 662 (24.2%) positive subjects completed colonoscopy, and the colonoscopy acceptance rate was significantly higher in men than in women (25.6% vs 23.3%, χ2=6.42, P=0.010). Of the 1020 subjects with biopsy results, 57 cancer cases (5.6%), 328 precancerous lesion cases (32.2%), 254 adenomatous polyp cases (24.9%), and 343 enteritis cases (33.6%) were identified.
Conclusion The colorectal cancer screening program conducted in community residents in Huangpu District is effective, but the coverage of colonoscopy is low. Relevant advocacy and strategy are needed to encourage colonoscopy among residents at risk of colorectal cancer.
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