辽宁省农村大肠癌早诊早治实践与探索

Practice and Exploration on Early Detection and Treatment of Colorectal Cancer in Rural Area of Liaoning Province

[目的]探索并总结农村开展大肠癌早诊早治项目的方法、问题和效果。[方法]分析辽宁省2012年12月至2014年9月大肠癌筛查资料,探讨40-74岁适龄人群早诊早治效果。[结果 ]初筛35 999人,肠镜检查3665人,确诊大肠癌23例,其中早期癌16例,中晚期癌7例,进展期腺瘤164例。检出率5.10%,早诊率96.26%,治疗率95.72%。[结论]农村开展肠镜筛查实施大肠癌早诊早治项目是必要的、也是可行的,与医院的发展相结合是项目工作可持续性要素之一。

[Purpose] To explore and summarize the methods,problems and effect during implementing Project Early Detection and Treatment of Colorectal Cancer in rural areas. [Methods] The colorectal cancer screening data of Liaoning province（December of 2012 to July of 2014） was an-alyzed. The effect of early detection and treatment among population at 40-74 ages was discussed.[Results] From December of 2012 to July of 2014,primary screening tests were conducted among35 999 objects,3665 objects underwent colonoscopy. There were 23 confirmed cases of colorectal cancer,including 16 cases with early cancer and 7 cases in advanced stage. And 164 cases with advanced adenoma were diagnosed as well. As a result,detection rate was 5.10%,early diagnostic rate was 96.26% and treatment rate was 95.72%.[Conclusions] It is necessary and feasible to carry out endoscopic screening for early detection and treatment of colorectal cancer in rural areas.Combining the implementation with the development of hospital is vital for the sustainability of this project.