林州食管癌高发区内镜筛查食管、贲门病变分析

An Analysis of Gastric Cardiac/ Esophageal Lesions Diagnosed by Endoscope Examination in Esophageal Cancer High Risk Area in Linzhou

[目的]分析2006~2012年林州食管癌高发区内镜筛查食管、贲门病变情况。[方法]按照《中国癌症筛查及早诊早治指南》（试行）和《癌症早诊早治项目技术方案》（2011年版）要求,分析2006~2009年、2010~2012年目标人群筛查结果。[结果]2006~2009年,人群筛查的参加率为67.10%,活检率为144.03%,癌变检出率为4.50%（食管2.55%,贲门1.95%）;早诊率为93.94%。2010~2012年,人群筛查的参加率为33.06%,活检率为60.10%,癌变检出率为2.87%（食管1.81%,贲门1.06%）,早诊率为88.86%。[结论]提高人群筛查的参加率和活检率,可有效减少机会性筛查,并提高癌变检出率。

[Purpose] To analysis the gastric cardiac/ esophageal lesions diagnosed by endoscope examination in esophageal cancer high risk area in Linzhou, 2006-2012. [Method] According to 〈 The Guide of Cancer Screening and Early Diagnosis and Treatment〉 （Trial） and 〈 Project Techni- cal Solutions of Early Diagnosis and Treatment about Cancer〉（2011 edition） , screening results of target population in 2006-2009 and 2010-2012 were analyzed. [Results] In 2006-2009 ,the par- ticipation rate was 67.10%,the biopsy rate was 144.03%,the detection rate of cancer was 4.50%; Early detection rate was 93.94%.In 2010-2012,the participation rate was 33.06%,the biopsy rate was 60.10% ,the detection rate of cancer was 2.87% ;Early detection rate was 88.86%. [Conclu- sion ] Increase the participation rate and biopsy rate of population screening might reduce oppor- tunistic screening and improve the detection rate of cancer.