厦门市海沧区大肠癌及癌前病变筛查结果分析

Analysis on colorectal cancer screening result in Haicang district of Xiamen city

目的开展人群大肠癌及癌前病变筛查,使大肠癌患者能够被早发现、早诊断、早治疗,从而提高大肠癌患者的生存率,同时降低大肠癌患者的发病率和死亡率。方法采用病史问卷调查、大便隐血试验(FOBT)进行初筛,对初筛出来的高危人群用电子结肠镜作进一步检查。结果本次筛查出大肠癌14例(7.82%),腺瘤64例(35.75%),非腺瘤性息肉73例(40.78%)。各年龄组大肠癌发病率及大肠癌癌前病变的检出率比较,差异均有统计学意义(P<0.05)。结论积极开展大肠癌早诊早治筛查活动,对降低大肠癌的死亡率和发病率、提高患者的生存率和生活质量具有重要意义。

Objective To carry out multitude screening for colorectal cancer and precancerous lesions of colorectal cancer to find,diagnose and treat colorectal cancer patients early,thereby to improve the rate of survive and reduce the rate of death and incidence.Methods Occult blood(OB)test and questionnaire were executed for primary screening and colonoscopy was rescreening.Colorectal cancer screening was carried out in the residents over the age of 40 in Haicang district of Xiamen city.Results Many positive cases were found,including 14 cases of colorectal cancer(7.82%),64 cases of adenomatous polyps(35.75%),73 cases of inflammatory polyps or hyperplastic polyp(40.78%).The positive rate of colorectal cancer and precancerous lesions of colorectal cancer was obviously different among all kinds of age teams(P<0.05).Conclusion Active colorectal cancer screening can reduce the rate of death and incidence,improve the rate of survive and the living quality of the patients.